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1912186990
SHAYNE ETHAN BATES
WINSTON SALEM, NC
NPI
1912186990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 2010-01033)
Enumeration Date
2007-10-26
Last Update Date
2010-09-28
Business Address
-- SHAYNE ETHAN BATES M.D.
3746 VEST MILL RD
WINSTON SALEM, NC 27103-2912
Phone number: 336-716-2255
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Mailing Address
-- SHAYNE ETHAN BATES M.D.
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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