Individual
MIRANDA REED TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.31158
SC
Other
Enumeration date
10/21/2025
Last updated
05/06/2026
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