Individual
KEITH BATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
965 OAKLAND RD STE C, LAWRENCEVILLE, GA 30044-3758
(404) 480-9330
Mailing address
965 OAKLAND RD STE C, LAWRENCEVILLE, GA 30044-3758
(404) 480-9330
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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