Individual
KEISHA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
802 BOMBAY LN, ROSWELL, GA 30076-5819
(770) 545-8070
Mailing address
802 BOMBAY LN, ROSWELL, GA 30076-5819
(678) 333-7919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008842
GA
Other
Enumeration date
08/19/2011
Last updated
11/18/2019
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