Individual
NADJAH M TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9301 CONCORD PARK DR, MONTGOMERY, AL 36117-9235
(334) 354-2964
Mailing address
9301 CONCORD PARK DR, MONTGOMERY, AL 36117-9235
(334) 354-2964
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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