Individual
DARREN ANTONIO BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3801 W MARKET ST, GREENSBORO, NC 27407-1301
(336) 883-0029
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
0010-13454
NC
363A00000X
Physician Assistant
Primary
0010-13454
NC
Other
Enumeration date
07/18/2023
Last updated
07/19/2024
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