Individual
ANN MARIE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-6831
(803) 854-5500
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18122
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2342
—
SC
Enumeration date
02/23/2013
Last updated
09/24/2019
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