Bates, Jackson
Bates, Jackson is an individual health care provider with primary practice located at 54 Tower Rd Ne , Marietta GA 30060-6977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bates, Jackson can be contacted via phone (770) 427-4682.Contact Information
Primary practice address
54 Tower Rd Ne
Marietta GA 30060-6977
Phone: (770) 427-4682
Fax: (770) 499-8562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 016554 | Georgia |
Profile Details
| NPI number | 1144210451 |
|---|---|
| LBN Legal business name | Bates, Jackson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Dec 8th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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