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Ophelia Bates
NPI 1801356399 · on the registry since 2019 · sole proprietor
Practice
- Address
- 115 Baywatch Cir
Fayetteville, GA 30215 - Phone
- (678) 764-5609
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia