Individual
DR. BASSAM TOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1277 WELLBROOK CIR NE, SUITE C, CONYERS, GA 30012-3873
(770) 922-6669
(770) 922-2412
Mailing address
1277 WELLBROOK CIR NE, SUITE C, CONYERS, GA 30012-3873
(770) 922-6669
(770) 922-2412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000412937B
—
GA
01
—
52022872001
BLUE CROSS BLUE SHIELD
GA
Enumeration date
12/28/2006
Last updated
12/09/2019
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