Individual
DR. JOHN A BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1220 BLANDING ST, COLUMBIA, SC 29201-2816
(803) 234-2010
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 888-2516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101021609
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
5151010443
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
89538
SC
Other
Enumeration date
05/01/2015
Last updated
06/14/2023
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