Individual
MICHAEL JOHN BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
(252) 744-7624
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
39724
IA
208600000X
Surgery Physician
Primary
2019-02230
NC
208600000X
Surgery Physician
C 52620
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
39724
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C 52620
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD 025138
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04433007
—
MS
05
—
1049174
—
LA
05
—
1932310604
—
NC
Enumeration date
05/24/2007
Last updated
01/31/2024
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