Individual
DR. DIANA RONE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, UMMC - DEPARTMENT OF PEDIATRICS, JACKSON, MS 39216
(601) 815-8489
(601) 984-2086
Mailing address
2500 NORTH STATE STREET, UMMC - DEPARTMENT OF PEDIATRICS, JACKSON, MS 39216
(601) 815-8489
(601) 984-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25702
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
09/18/2020
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