Provider Demographics
NPI:1891420261
Name:BATES, CHRISTINA N
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:N
Last Name:BATES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:NATASHA
Other - Last Name:BATES-WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5336 TORRI PARK DR
Mailing Address - Street 2:
Mailing Address - City:COTTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35453-3877
Mailing Address - Country:US
Mailing Address - Phone:205-246-3465
Mailing Address - Fax:
Practice Address - Street 1:5336 TORRI PARK DR
Practice Address - Street 2:
Practice Address - City:COTTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35453-3877
Practice Address - Country:US
Practice Address - Phone:205-246-3465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program