Individual
DR. GEORGE WHALEY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6300 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212-6944
(704) 535-0925
(704) 537-0204
Mailing address
6300 E INDEPENDENCE BLVD, CHARLOTTE, NC 28212-6944
(704) 535-0925
(704) 537-0204
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13326
SC
207W00000X
Ophthalmology Physician
Primary
22184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89131JP
—
NC
Enumeration date
09/26/2006
Last updated
07/08/2007
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