Individual
DARREN R TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
(601) 883-5196
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
(601) 883-5196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L3851
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
19641
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08575770
—
MS
05
—
1028185
—
LA
05
—
168286601
—
TX
01
—
7442608
AETNA
MS
Enumeration date
10/06/2005
Last updated
08/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us