Individual
ANGELA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 MARSHALL ST, MARTINEZ, GA 30907-2585
(803) 257-7908
Mailing address
339 MARSHALL ST, MARTINEZ, GA 30907-2585
(803) 257-7908
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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