Individual
LUKE CHARLES BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
171 NC-125, ROANOKE RAPIDS, NC 27870
(252) 537-5631
Mailing address
530 CEDAR ST, ROANOKE RAPIDS, NC 27870-2502
(540) 416-3109
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
769
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275023541
—
NC
Enumeration date
05/13/2018
Last updated
01/20/2022
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