Individual
CANDICE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 GALLERIA PKWY SE, SUITE 1500, ATLANTA, GA 30339-5980
(770) 644-9212
(770) 644-9213
Mailing address
400 GALLERIA PKWY SE, SUITE 1500, ATLANTA, GA 30339-5980
(770) 644-9212
(770) 644-9213
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036109593
IL
2084P0800X
Psychiatry Physician
Primary
059967
GA
Other
Enumeration date
04/05/2006
Last updated
09/29/2010
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