Individual
JOHN DAVID TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 WILLOW LN, WESTPARK C61-2 N, NORTH WILKESBORO, NC 28659-3551
(704) 939-1100
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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