Organization
REGIONAL ENT ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L TATE M. D. (PRESIDENT)
(615) 444-6667
Entity
Organization
Contact information
Practice address
206A BABB DR, LEBANON, TN 37087-2508
(615) 444-6667
(615) 444-7058
Mailing address
206A BABB DR, LEBANON, TN 37087-2508
(615) 444-6667
(615) 444-7058
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD021696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3722244
—
TN
Enumeration date
06/10/2006
Last updated
11/15/2012
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