Individual
MATTHEW STEPHEN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6740 BRISTOL HWY, PINEY FLATS, TN 37686-5231
(423) 391-1227
Mailing address
100 MOULTIRE PL, LYNCHBURG, VA 24502-5812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46646
TN
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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