# DEKALB-GWINNETT OB/GYN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659482883
- **Authorized official:** JOSEPH L TATE MD (PRESIDENT)
- **Authorized official phone:** (770) 449-8171

## Contact information

- **Practice address:** 4045 WETHERBURN WAY, NORCROSS, GA 30092-1893
- **Practice address phone:** (770) 449-8171
- **Practice address fax:** (770) 449-5015
- **Mailing address:** 4045 WETHERBURN WAY, NORCROSS, GA 30092-1893
- **Mailing address phone:** (770) 449-8171
- **Mailing address fax:** (770) 449-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | GA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/18/2013