Individual
DR. DOUGLAS BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
110 FAIRIDGE CT, KERNERSVILLE, NC 27284-6359
(336) 252-4479
Mailing address
110 FAIRIDGE CT, KERNERSVILLE, NC 27284-6359
(803) 543-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C017821
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00465933
—
NC
Enumeration date
11/12/2020
Last updated
06/15/2025
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