Individual
ALLYNA ELIZABETH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 548-8396
Mailing address
502 ROMPER RD, SNEADS FERRY, NC 28460-9675
(910) 548-8396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001013026
NC
Other
Enumeration date
07/14/2022
Last updated
03/16/2023
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