NPI Profile for Dr ZENOBIA BASS in SNELLVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1770045593 |
|
| Status | Active | |
| Credentials | CACII | |
| Entity | Individual | |
| Enumeration date | 04/01/2019 | |
| Last updated | 04/01/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ZENOBIA BASS
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