Individual
MRS. LISA M BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 372-7929
Mailing address
1563 TAPPAHANNOCK TRL, MARIETTA, GA 30062-2084
(404) 372-7929
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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