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Individual

DAVID L TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
908 HILLCREST PKWY, DUBLIN, GA 31021-4206
(478) 272-7411
(478) 274-9809
Mailing address
908 HILLCREST PKWY, DUBLIN, GA 31021-4206
(478) 272-7411
(478) 274-9809

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48729
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000879645C
GA
Enumeration date
08/26/2005
Last updated
05/13/2025
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