Individual
LILLIE EDWARDS BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
811 W MAIN ST, STE 204, LEXINGTON, SC 29072-2507
(803) 359-8855
(803) 359-1257
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15599
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155995
—
SC
Enumeration date
09/13/2005
Last updated
10/13/2020
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