Individual
CARLA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 LONGFIELD DR, SNELLVILLE, GA 30039
(205) 492-2645
Mailing address
316 COLLINGSWORTH TRCE, LAWRENCEVILLE, GA 30043-7576
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
RN204127
GA
363LF0000X
Family Nurse Practitioner
Primary
RN204127
GA
Other
Enumeration date
05/29/2015
Last updated
12/18/2025
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