Individual
THADDEUS LEE PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1301 JACK WARNER PKWY NE, TUSCALOOSA, AL 35404-1060
(205) 462-4500
(205) 556-1198
Mailing address
1301 JACK WARNER PKWY NE, TUSCALOOSA, AL 35404-1060
(205) 462-4500
(205) 556-1198
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-106766
AL
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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