Individual
LAUREN KATHERINE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1603 GEORGIA HIGHWAY 20 NE STE 201, CONYERS, GA 30012-3946
(770) 929-8411
Mailing address
28310 LOIRET CT, PONCHATOULA, LA 70454-8101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP015450T
GA
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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