Organization
JAY NEWTON BATES, JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY NEWTON BATES JR. M.D. (PRESIDENT)
(706) 724-5451
Entity
Organization
Contact information
Practice address
1430 B HARPER STREET, AUGUSTA, GA 30901
(706) 724-5451
(706) 724-9562
Mailing address
1430 B HARPER STREET, AUGUSTA, GA 30901
(706) 724-5451
(706) 724-9562
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
048471
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00895705A
—
GA
05
—
GPA820
—
SC
Enumeration date
10/04/2006
Last updated
10/21/2016
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