Individual
DR. JAY NEWTON BATES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 HARPER ST, BUILDING B, AUGUSTA, GA 30901-0617
(706) 724-5451
(706) 724-9562
Mailing address
1430 HARPER ST, BUILDING B, AUGUSTA, GA 30901-0617
(706) 724-5451
(706) 724-9562
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
048471
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G48471
—
SC
Enumeration date
08/26/2005
Last updated
08/26/2022
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