Individual
DR. KNOX R TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 13TH AVE NE, HICKORY, NC 28601-3748
(828) 322-2644
(828) 327-2235
Mailing address
PO BOX 308, HICKORY, NC 28603-0308
(828) 322-2644
(828) 327-2235
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
200500267
NC
2085N0700X
Neuroradiology Physician
200500267
NC
2085N0904X
Nuclear Radiology Physician
200500267
NC
2085P0229X
Pediatric Radiology Physician
200500267
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200500267
NC
2085R0203X
Therapeutic Radiology Physician
200500267
NC
2085R0204X
Vascular & Interventional Radiology Physician
200500267
NC
2085R0205X
Radiological Physics Physician
200500267
NC
2085U0001X
Diagnostic Ultrasound Physician
200500267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139HH
BCBS
NC
01
—
246190
MAMSI
NC
01
—
560941927
CIGNA
NC
05
—
5900717
—
NC
01
—
P00235224
RAILROAD MEDICARE
NC
Enumeration date
08/31/2006
Last updated
02/29/2012
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