IndividualActive
Aly Bassal, M.D., F.I.C.S.
NPI 1275530560 · Family Medicine Physician · Elizabethton, TN
Provider details
- NPI number
- 1275530560
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., F.I.C.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD0000013983 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1000 W G St
Suite 104
Elizabethton, TN 37643-2959
Phone: (423) 543-4616
Fax: (423) 543-7771
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 640
Elizabethton, TN 37644-0640
Registry dates
- Enumerated
- 2005-07-01
- Last updated
- 2012-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.