Individual
STEPHEN BRADLEY TATTER
Active
Individual
STEPHEN BRADLEY TATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9701168
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069G
BCBS
—
01
—
140007850
RR MEDICARE
—
01
—
21294
PARTNERS
—
05
—
3002835000
—
WV
01
—
5171443
AETNA
—
05
—
6105424
—
VA
01
—
74319
MEDCOST
—
05
—
891069G
—
NC
05
—
Q01168
—
SC
Enumeration date
01/13/2006
Last updated
06/14/2022
Update your record
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