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Individual

FARRAH TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
2023 GRAYSON HWY STE 201, GRAYSON, GA 30017-5047
(678) 656-6819
Mailing address
2023 GRAYSON HWY STE 201, GRAYSON, GA 30017-5047
(678) 656-6819

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
201925
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
01/06/2025
Last updated
01/28/2025
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