Individual
SALLIE S BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA/AA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
PO BOX 2564, MACON, GA 31203
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004333
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326281
WELLCARE
GA
05
—
417581048B
—
GA
05
—
417581048C
—
GA
05
—
417581048D
—
GA
05
—
417581048E
—
GA
01
—
P00212669
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
06/04/2013
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