Individual
CHANEY GRAHAM BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 REAGAN VIEW LN, SEYMOUR, TN 37865-4977
(865) 719-1209
Mailing address
830 REAGAN VIEW LN, SEYMOUR, TN 37865-4977
(865) 719-1209
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26531
TN
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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