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OTIS JEFFREY BATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PNP

Contact information

Practice address
20 MEDICAL CAMPUS DR STE 207, SUPPLY, NC 28462-4094
(910) 755-5066
Mailing address
7909 PAWLEYS LN, WILMINGTON, NC 28411-8716
(910) 686-7613

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NC

Other

Enumeration date
02/16/2006
Last updated
07/08/2007
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