Provider Demographics
NPI:1316988199
Name:BATIE, ANITRA D (MD)
Entity type:Individual
Prefix:
First Name:ANITRA
Middle Name:D
Last Name:BATIE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 HIGHWAY 78 E
Mailing Address - Street 2:MEDICAL ARTS TOWER; SUITE 110
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-8907
Mailing Address - Country:US
Mailing Address - Phone:205-221-1755
Mailing Address - Fax:205-221-9961
Practice Address - Street 1:3400 HIGHWAY 78 E
Practice Address - Street 2:MEDICAL ARTS TOWER; SUITE 110
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-8907
Practice Address - Country:US
Practice Address - Phone:205-221-1755
Practice Address - Fax:205-221-9961
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2014-08-05
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Provider Licenses
StateLicense IDTaxonomies
AL25536207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0099916235Medicaid
AL051556002Medicare PIN
ALI19242Medicare UPIN