Organization
DEKALB-GWINNETT OB/GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L TATE MD (PRESIDENT)
(770) 449-8171
Entity
Organization
Contact information
Practice address
4045 WETHERBURN WAY, NORCROSS, GA 30092-1893
(770) 449-8171
(770) 449-5015
Mailing address
4045 WETHERBURN WAY, NORCROSS, GA 30092-1893
(770) 449-8171
(770) 449-5015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
GA
Other
Enumeration date
08/31/2006
Last updated
12/18/2013
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