# BATES FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629354287
- **Authorized official:** WILLIAM T BATES III DO (DO/OWNER)
- **Authorized official phone:** (423) 472-4677

## Contact information

- **Practice address:** 2401 N OCOEE ST, SUITE 102, CLEVELAND, TN 37311-3853
- **Practice address phone:** (423) 472-4677
- **Practice address fax:** (423) 472-4620
- **Mailing address:** 2401 N OCOEE ST, SUITE 102, CLEVELAND, TN 37311-3853
- **Mailing address phone:** (423) 472-4677
- **Mailing address fax:** (423) 472-4620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 06/02/2014