Individual
ALLEN ERVIN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2685 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3040
(615) 326-6096
Mailing address
2685 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3040
(615) 326-6096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1129
TN
Other
Enumeration date
09/16/2008
Last updated
05/10/2024
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