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Individual
KEITH BATE
Active
Individual
KEITH BATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001801
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1298
NATIONAL BOARD OF CERTIFICATION OF ORTHOPEDIC PHYSICIANS ASSISTANTS
GA
01
—
2000002679
NATIONAL ATHLETIC TRAINING ASSC BOARD OF CERTIFICATION
GA
01
—
AT001801
ATHLETIC TRAINING STATE LICENSURE
GA
Enumeration date
12/06/2021
Last updated
07/21/2022
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