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NPI Code Detail

MEDICARE: DR. RICHARD G BATES MD

MEDICARE: DR. RICHARD G BATES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician11494TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043213267
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD G BATES MD
Provider Business Mailing Address
First Line : 8010 STAGE HILLS BLVD
Second Line :
City : BARTLETT
State : TN
Zip : 38133-4032
Country : US
Telephone Number : 901-291-2400
Fax Number : 901-379-0771
Provider Business Practice Location Address
First Line : 7695 POPLAR PIKE
Second Line : SUITE 101
City : GERMANTOWN
State : TN
Zip : 38138-5947
Country : US
Telephone Number : 901-685-2696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/08/2011

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