NPI 1669601381

Javan S. Bass, DPM

Practitioner Foot & Ankle Surgery Podiatrist Lithonia, GA

Practice location

Address: 8225 Mall Pkwy, Lithonia, GA 30038-6994
Phone: (770) 484-9599
Mailing address: 302 Providence Dr, Dallas, GA 30157-7465

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD001101 (GA)

Other Podiatrist providers in Georgia →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence SC006097 (PA)

Registry record

NPI: 1669601381
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2009
Record last updated: 23 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.