Individual
SARA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1154 CROSS CREEK DR, SALTILLO, MS 38866-5777
(662) 840-8010
(662) 840-2656
Mailing address
1154 CROSS CREEK DR, SALTILLO, MS 38866-5777
(662) 840-8010
(662) 840-2656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R696722
MS
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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