Tome, Bassam

Tome, Bassam is an sole proprietor health care provider with primary practice located at 1277 Wellbrook Cir Ne Suite C, Conyers GA 30012-3873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tome, Bassam can be contacted via phone (770) 922-6669.

Contact Information

Primary practice address
1277 Wellbrook Cir Ne Suite C Conyers GA 30012-3873
Phone: (770) 922-6669
Fax: (770) 922-2412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 030911 Georgia

Profile Details

NPI number 1689730244
LBN Legal business name Tome, Bassam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Dec 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689730244 NPPES
Georgia Other 52022872001 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 000412937B BLUE CROSS BLUE SHIELD

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