Aly Bassal, M.D., F.I.C.S

NPI 1275530560 · on the registry since 2005 · sole proprietor

Practice

Address: 1000 W G St
Suite 104
Elizabethton, TN 37643
Phone: (423) 543-4616
Fax: (423) 543-7771
Organisation at this address: Burgie Drug Store Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-10-05

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 Tennessee