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Individual

DR. BLANE EDWARD BATEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
901 LEIGHTON AVENUE, SUITE 506, ANNISTON, AL 36207
(256) 238-0200
(256) 236-8007
Mailing address
901 LEIGHTON AVENUE, SUITE 506, ANNISTON, AL 36207
(256) 238-0200
(256) 236-8007

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
D0325
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000088345
AL
Enumeration date
06/25/2006
Last updated
12/15/2009
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