Individual
DR. PHILLIP DALE BATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC SUITE 200, NASHVILLE, TN 37232-4537
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35786
AL
2085R0202X
Diagnostic Radiology Physician
Primary
57012
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14192005
CAQH
—
05
—
214554
—
AL
05
—
215913
—
AL
05
—
215919
—
AL
05
—
215931
—
AL
05
—
216152
—
AL
05
—
216277
—
AL
05
—
216279
—
AL
05
—
216301
—
AL
05
—
216553
—
AL
05
—
217392
—
AL
05
—
239940
—
AL
05
—
242511
—
AL
05
—
242772
—
AL
05
—
242938
—
AL
05
—
243047
—
AL
05
—
244034
—
AL
Enumeration date
05/21/2012
Last updated
12/11/2024
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