Individual provider · Type 1 NPI

Javan S. Bass, DPM

Foot & Ankle Surgery Podiatrist · Lithonia, GA

NPI number 1669601381 Active

Practice location

8225 Mall Pkwy
Lithonia, GA 30038-6994

Mailing address

302 Providence Dr
Dallas, GA 30157-7465

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XSC006097 (PA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD001101 (GA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1669601381

Javan S. Bass, DPM's National Provider Identifier is 1669601381, issued on Jul 2, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lithonia, GA. The record was last updated on Feb 23, 2010.