Individual
MICHAEL N TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2406 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 324-9550
(828) 324-4154
Mailing address
PO BOX 3710, HICKORY, NC 28603-3710
(828) 324-9550
(828) 324-4154
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81644
BLUE CROSS
NC
05
—
8981644
—
NC
Enumeration date
05/31/2005
Last updated
11/23/2009
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