Individual
LONNIE E BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(229) 221-5876
Mailing address
824 BENT TREE LN, YOUNG HARRIS, GA 30582-2620
(229) 221-5876
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN282141
GA
Other
Enumeration date
11/05/2018
Last updated
04/24/2023
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