Organization
PEDIATRIC PLACE OF UNION CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B BATES M.D. (SOLE MEMBER)
(731) 885-4338
Entity
Organization
Contact information
Practice address
1117 S MILES AVE, SUITE 3, UNION CITY, TN 38261-5439
(731) 885-4338
(731) 885-4339
Mailing address
1613 STONEHEDGE BLVD, UNION CITY, TN 38261-5976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42330
TN
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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