Individual
SIDNEY WAYNE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 MAGNOLIA CIR, SEARCY, AR 72143-5705
(501) 268-1802
Mailing address
9 MAGNOLIA CIR, SEARCY, AR 72143-5705
(501) 268-1802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-2059
AR
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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