Individual
MR. EDWARD T BATES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
534 N 35TH ST STE D, MOREHEAD CITY, NC 28557-3184
(252) 726-1802
Mailing address
5141 US HIGHWAY 64 E, FRANKLINVILLE, NC 27248-8657
(910) 606-0740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5610
NC
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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