Organization · NPI-2

Bass Comprehensive Wellness Care

Nurse Practitioner, Family · Newnan, GA

NPI number1427799790

StatusActive

Last updated in NPPESApr 2, 2022

Details

NPI: 1427799790
Entity type: Organization (NPI-2)
Legal business name: Bass Comprehensive Wellness Care
Organization subpart: Yes
Enumeration date: Apr 2, 2022
Certification date: Apr 2, 2022
Last updated: Apr 2, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–

Practice location

77 Fendley Trce
Newnan, GA 30263-7089

Phone 678-578-5833 · Fax 678-578-5830

Mailing address

90f Glenda Trce Ste 344
Newnan, GA 30265-3858

Phone 678-578-5833 · Fax 678-578-5830

Authorized official

Altheia Bass-Seldon
Owner/Family Nurse Practitioner
6785785833

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