Keith Bate, ATC
Specialist/Technologist, Athletic Trainer in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1073271177
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1073271177
- Entity type
- Individual (NPI-1)
- Name
- Keith Bate
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2021
- Certification date
- Dec 6, 2021
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT001801 | GA | Yes |
Practice location
965 Oakland Rd Ste CLawrenceville, GA 30044-3758
Phone 404-480-9330
Mailing address
965 Oakland Rd Ste CLawrenceville, GA 30044-3758
Phone 404-480-9330
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