OTIS JEFFREY BATY

SUPPLY, NC
NPI1700850658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC  0050-02207)
Enumeration Date2006-02-16
Last Update Date2007-07-08
Business Address
-- OTIS JEFFREY BATY PNP
20 MEDICAL CAMPUS DR STE 207
SUPPLY, NC 28462-4094
Phone number: 910-755-5066
Mailing Address
-- OTIS JEFFREY BATY PNP
7909 PAWLEYS LN
WILMINGTON, NC 28411-8716
Phone number: 910-686-7613
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