Individual
JENNIFER H BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 PERIMETER CENTER PL NE, ATLANTA, GA 30346-1204
(679) 259-0762
Mailing address
50 MICHELLE CIR NE, ATLANTA, GA 30342-1017
(678) 577-0096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021233
GA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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