Organization
SUSAN B TATE MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TATE MD (OWNER)
(502) 454-7871
Entity
Organization
Contact information
Practice address
2934 BRECKENRIDGE LN STE 2, LOUISVILLE, KY 40220-3903
(502) 454-7871
(502) 454-7872
Mailing address
2934 BRECKENRIDGE LN STE 2, LOUISVILLE, KY 40220-3903
(502) 454-7871
(502) 454-7872
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/22/2015
Last updated
07/17/2015
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