Individual
JANNA A BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
840 PINE ST STE 750, MACON, GA 31201-7528
(478) 633-4758
(478) 633-5025
Mailing address
840 PINE STREET, SUITE 750, MACON, GA 31201
(478) 633-4758
(478) 633-5025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
07/21/2022
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