Individual
DR. CHAD BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2033 MEADOWVIEW LANE, SUITE 200 HOLSTON MEDICAL GROUP PC, KINGSPORT, TN 37660
(423) 857-2260
Mailing address
PO BOX 9, HMG CREDENTIALING, KINGSPORT, TN 37660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101241364
VA
207Q00000X
Family Medicine Physician
Primary
43411
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003926353
—
VA
05
—
3001348
—
TN
Enumeration date
08/30/2006
Last updated
09/16/2009
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