Individual
GARY BATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
409 E BOSTIC ST, BEULAVILLE, NC 28518
(509) 378-2428
Mailing address
409 E BOSTIC ST, BEULAVILLE, NC 28518-8771
(509) 378-2824
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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