Individual
DR. JOHNNY EDWARD BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 NARROWS PKWY, SUITE A, BIRMINGHAM, AL 35242-8624
(205) 437-1512
(205) 278-8713
Mailing address
200 NARROWS PKWY, SUITE A, BIRMINGHAM, AL 35242-8624
(205) 437-1512
(205) 278-8713
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00011954
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935852
—
AL
Enumeration date
06/12/2006
Last updated
10/16/2009
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