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Individual

VERA TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3836

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
72934
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2012
Last updated
07/21/2022
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