| Bass Comprehensive Wellness Care | |
|
77 Fendley Trce Newnan GA 30263-7089 | |
| (678) 578-5833 | |
| (678) 578-5830 |
| Full Name | Bass Comprehensive Wellness Care |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 77 Fendley Trce, Newnan, Georgia |
| Authorized Official Name and Position | Altheia Bass-seldon (OWNER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6785785833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bass Comprehensive Wellness Care 90f Glenda Trce Ste 344 Newnan GA 30265-3858 Ph: (678) 578-5833 | Bass Comprehensive Wellness Care 77 Fendley Trce Newnan GA 30263-7089 Ph: (678) 578-5833 |
| NPI Number | 1427799790 |
|---|---|
| Provider Enumeration Date | 04/02/2022 |
| Last Update Date | 04/02/2022 |
| Certification Date | 04/02/2022 |
| Medicare PECOS PAC ID | 2961870076 |
|---|---|
| Medicare Enrollment ID | O20221122000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427799790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Altheia Bass-seldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467615393 PECOS PAC ID: 8921174327 Enrollment ID: I20080909000498 |
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