Individual
CHERESE PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2700 WOLF LAKE DR SW, ATLANTA, GA 30349-8772
(678) 670-7200
Mailing address
1656 WARE AVE # 130, EAST POINT, GA 30344-3133
(678) 670-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN164576
GA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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