Individual
MRS. BROOKE BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAII
Contact information
Practice address
1060 GODWIN DR, WILLIAMSTON, NC 27892-6827
(252) 792-1101
Mailing address
1139 NORTHSIDE RD, ELIZABETH CITY, NC 27909-8525
(252) 333-2648
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
NC
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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