Organization
BATECO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SCOTT BATEMAN M.D. (PRESIDENT)
(601) 835-0650
Entity
Organization
Contact information
Practice address
215 HIGHWAY 51 S, BROOKHAVEN, MS 39601-3245
(601) 835-0650
(601) 835-0610
Mailing address
215 HIGHWAY 51 S, BROOKHAVEN, MS 39601-3245
(601) 835-0650
(601) 835-0610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10676
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110157
—
MS
Enumeration date
05/30/2012
Last updated
05/30/2012
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