Individual
DR. PAUL KENNETH BATES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 18TH STREET CIR SE, HICKORY, NC 28602-1361
(828) 322-2550
(828) 322-7748
Mailing address
240 18TH STREET CIR SE, HICKORY, NC 28602-1361
(828) 322-2550
(828) 322-7748
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13765
BCBS
NC
01
—
19206
NC MEDICAL LICENSE
NC
05
—
8913765
—
NC
Enumeration date
01/06/2006
Last updated
07/17/2009
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