Individual
CARMEN L BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
2570 RIVERSIDE PKWY, LAWRENCEVILLE, GA 30046-0897
(770) 339-4260
Mailing address
PO BOX 897, LAWRENCEVILLE, GA 30046-0897
(678) 442-6880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001396
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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