Individual
DANIELLE LATRICE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6215 HUMPHREYS BLVD STE 400, MEMPHIS, TN 38120-2382
(901) 227-9580
(901) 227-9527
Mailing address
200 WAGNER PL APT 208, MEMPHIS, TN 38103-3628
(225) 892-4534
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25456
MS
207V00000X
Obstetrics & Gynecology Physician
50274
TN
207VM0101X
Maternal & Fetal Medicine Physician
25456
MS
207VM0101X
Maternal & Fetal Medicine Physician
Primary
50274
TN
Other
Enumeration date
04/23/2008
Last updated
09/09/2022
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