Individual provider · NPI-1
Madison Bass
Technician · Charlotte, NC
NPI number1972287043
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1972287043
- Entity type
- Individual (NPI-1)
- Name
- Madison Bass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
525 N Tryon StCharlotte, NC 28202-0202
Phone 855-832-6727
Mailing address
525 N Tryon StCharlotte, NC 28202-0202
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