Individual
DEWITT BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8325 KELWOOD AVE, BATON ROUGE, LA 70806-4804
(225) 929-7600
(225) 930-7524
Mailing address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 293-2523
(225) 293-1807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
021212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050067567
RR MEDICARE PROVIDER NUMB
LA
05
—
1535184
—
LA
01
—
721077264BA
HUMANA PROVIDER NUMBER
LA
01
—
G04066
STERLING PROVIDER NUMBER
LA
Enumeration date
10/06/2006
Last updated
02/15/2017
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