Search › Georgia › 2255A2300X
Andrew Bass, ATC
NPI 1225306210 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1601 Maple Street Athletic Operations Building
Carrollton, GA 30118 - Phone
- (678) 839-6628
- Fax
- (678) 839-6546
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia