Individual
JOE W BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(770) 994-9326
(770) 994-4747
Mailing address
1745 PHOENIX BLVD, SUITE 100, ATLANTA, GA 30349-5591
(770) 994-9326
(770) 994-4747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051019
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
051019
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001555616H
—
GA
Enumeration date
06/01/2006
Last updated
05/17/2010
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