Individual
JOHN ANTHONY TATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 WAMSUTTA MILL RD STE B, MORGANTON, NC 28655-5522
(828) 430-3511
(336) 464-2907
Mailing address
125 WAMSUTTA MILL RD STE B, MORGANTON, NC 28655-5522
(828) 430-3511
(336) 464-2907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200400985
NC
2085R0202X
Diagnostic Radiology Physician
42043
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053359364
—
NC
Enumeration date
06/02/2006
Last updated
01/25/2022
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