Individual
MR. CHRISTOPHER L BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2709 MEREDYTH DR, SUITE 340, ALBANY, GA 31707-0222
(229) 883-1130
(229) 883-1153
Mailing address
151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002842B
—
GA
Enumeration date
09/22/2005
Last updated
08/14/2015
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