Individual
BRIANA NICOLE TATE-YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1000
Mailing address
132 FASHION XING, MCDONOUGH, GA 30252-1605
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
28513486
GA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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