Provider Information for 1194471052
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JOHN RONALD BATES LPC-A
Sex: Male
NPI: 1194471052
Last Updated: 2022-03-01
Certification Date: 2022-03-01
Certification Date: 2022-03-01
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194471052 | ||||||||||||||
| Enumeration Date | 2022-03-01 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 910 COOK RD ORANGEBURG, SC 29118-2124 United States Phone: 803-534-2328 | Fax: | ||||||||||||||
| Primary Practice Address | 910 COOK RD ORANGEBURG, SC 29118-2124 United States Phone: 803-534-2328 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|