Individual
MEGAN ELIZABETH TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38421
SC
208000000X
Pediatrics Physician
38421
SC
208000000X
Pediatrics Physician
93051
GA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
93051
GA
Other
Enumeration date
06/17/2015
Last updated
09/01/2022
Update your record
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