Individual
DR. KYLE SCOTT BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 HWY 51 SOUTH, BROOKHAVEN, MS 39601-3245
(601) 835-0650
(601) 835-0610
Mailing address
215 HWY 51 SOUTH, BROOKHAVEN, MS 39601-3245
(601) 835-0650
(601) 835-0610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10676
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110157
—
MS
Enumeration date
09/14/2006
Last updated
11/01/2010
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