Individual
MICHAEL JAMES TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 282-0053
(919) 282-0057
Mailing address
7100 SIX FORKS RD, SUITE 301, RALEIGH, NC 27615-6156
(919) 847-0187
(919) 676-2231
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1277
NC
Other
Enumeration date
04/07/2008
Last updated
02/12/2013
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