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Individual

MR. GREGORY L TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1427-H LAURENS ROAD, GREENVILLE, SC 29607
(864) 561-6444
Mailing address
665-H FAIRVIEW ROAD, PMB 233, SIMPSONVILLE, SC 29680
(864) 420-6038

Taxonomy

Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
SC

Other

Enumeration date
12/19/2022
Last updated
12/19/2022
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