Individual
RICKY DEAN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7700
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 932-1198
(870) 910-7700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E2224
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137536001
—
AR
Enumeration date
09/23/2005
Last updated
04/28/2008
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