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Individual

WILLIAM BOWERS BATES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH STREET, DEPARTMENT OF RADIOLOGY, AUGUSTA, GA 30912-0004
(706) 721-9729
Mailing address
1120 15TH ST., SUITE BI-1056, ATTN: MARY DEWOSKY, AUGUSTA, GA 30912-0004
(706) 721-3813

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
022389
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000244417A
GA
05
R22389
SC
Enumeration date
08/30/2006
Last updated
11/22/2023
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