Individual
MARISSA BARRON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(404) 785-5437
Mailing address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(404) 785-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
92213
GA
Other
Enumeration date
03/18/2019
Last updated
09/21/2024
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