Individual
JOSEPH L TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
023237
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309361A
—
GA
Enumeration date
09/01/2006
Last updated
07/08/2007
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