Individual
DR. CARL WATSON TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4521 17TH AVE, COLUMBUS, GA 31904-6344
(706) 660-0191
(706) 596-8388
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5664
OH
152W00000X
Optometrist
Primary
OPT002724
GA
Other
Enumeration date
08/20/2006
Last updated
03/22/2022
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