Individual
JEFFREY MICHAEL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1794 APPLE BLVD, MARIETTA, GA 30066-2953
(404) 290-7609
Mailing address
1794 APPLE BLVD, MARIETTA, GA 30066-2953
(404) 290-7609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007617
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR007617
STATE LICENSE
GA
Enumeration date
05/07/2008
Last updated
03/30/2012
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