Provider Demographics
NPI:1891809844
Name:BATES, SANDRA AILEEN (MD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:AILEEN
Last Name:BATES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7806 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-5503
Mailing Address - Country:US
Mailing Address - Phone:615-646-6433
Mailing Address - Fax:
Practice Address - Street 1:3400 LEBANON RD.
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37221
Practice Address - Country:US
Practice Address - Phone:615-225-4902
Practice Address - Fax:615-225-6381
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN0104322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology