Individual
ELZIE LEE TATE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8737 ASHEVILLE HWY, SPARTANBURG, SC 29316-4609
(864) 578-5812
(864) 599-7804
Mailing address
19309 ASHEVILLE HWY, LANDRUM, SC 29356-9130
(864) 457-4037
(864) 599-7804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1903
SC
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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