Individual
MR. RICHARD JUSTIN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2708 HIGHWAY 78 E, JASPER, AL 35501-3430
(205) 387-2253
(205) 387-2269
Mailing address
2708 HIGHWAY 78 E, JASPER, AL 35501-3430
(205) 387-2253
(205) 387-2269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-117933
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720477995
—
AL
Enumeration date
01/12/2015
Last updated
10/15/2021
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