Individual
TAMATHIA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
111 COLONY CROSSING WAY, SUITE 430, MADISON, MS 39110-7778
(601) 715-3053
Mailing address
111 COLONY CROSSING WAY, SUITE 430, MADISON, MS 39110-7778
(601) 715-3053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901598
MS
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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