Individual
DR. NINA BRAZELL BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2967 GRANDVIEW AVENUE, ATLANTA, GA 30305
(404) 814-0733
(404) 814-0584
Mailing address
PO BOX 11989, ATLANTA, GA 30355-1989
(404) 814-0733
(404) 814-0584
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
031559
GA
Other
Enumeration date
05/01/2007
Last updated
04/21/2010
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