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Individual

DR. CLAYTON A BASS

Active
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Individual

DR. CLAYTON A BASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
045167
GA
207P00000X
Emergency Medicine Physician
13154
MS
207P00000X
Emergency Medicine Physician
Primary
6068769-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000784924D
GA
05
06559318
MS
05
1490261
LA
01
52755548-002
BCBS
GA
Enumeration date
09/20/2005
Last updated
07/09/2009
Update your record

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