| Bateco, Inc | |
|
215 Highway 51 S Brookhaven MS 39601-3245 | |
| (601) 835-0650 | |
| (601) 835-0610 |
| Full Name | Bateco, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Highway 51 S, Brookhaven, Mississippi |
| Authorized Official Name and Position | Kyle Scott Bateman (PRESIDENT) |
| Authorized Official Contact | 6018350650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bateco, Inc 215 Highway 51 S Brookhaven MS 39601-3245 Ph: (601) 835-0650 | Bateco, Inc 215 Highway 51 S Brookhaven MS 39601-3245 Ph: (601) 835-0650 |
| NPI Number | 1508127226 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 05/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508127226 | NPI | - | NPPES |
| 0110157 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10676 (Mississippi) | Primary |
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