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NICHOLAS BASHAM, PA
PA
Physician Assistant
NPI: 1710301684IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA0000002721(TN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 650 JOEL DR
FORT CAMPBELL, KY 42223 - Phone
- (270) 412-5122
Quick Facts
- NPI
- 1710301684
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
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