Individual
DAISY J TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1530 ASHEVILLE HWY, SPARTANBURG, SC 29303-2006
(864) 582-5431
(864) 582-7111
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 585-9208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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