Individual
MR. CHARLES BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
FAMILY PRACTICE CENTER, 600 MOYE BLVD, GREENVILLE, NC 27834
(252) 744-2207
(252) 744-5014
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C001021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086X
BCBS NC
NC
05
—
6002396
—
NC
01
—
800013228
RAILROAD MEDICARE
NC
Enumeration date
12/16/2005
Last updated
04/19/2010
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