Eric Bass

Individual provider Active NPI Community/Behavioral Health Agency · Thomasville, NC

NPI 1740812759 · NPPES record last updated Feb 7, 2020

Key facts

NPI
1740812759
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
1301 National Hwy
Thomasville, NC 27360-2317
Phone
(336) 472-8230
NPI assigned
Feb 7, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

1301 National Hwy
Thomasville, NC 27360-2317

Mailing address

1301 National Hwy
Thomasville, NC 27360-2317
Phone (336) 472-8230

Other providers in Thomasville, NC

All providers in Thomasville, NC · Community/Behavioral Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.