Individual
JAMISON FROST TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
USA MEDDAC, 11050 MT. BELVEDERE BLVD., FORT DRUM, NY 13602
(315) 774-5586
Mailing address
USA MEDDAC, 11050 MT. BELVEDERE BLVD., FORT DRUM, NY 13602
(315) 774-5586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89783
GA
Other
Enumeration date
05/12/2020
Last updated
02/06/2026
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