Individual
TARVERES TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5622 GRAMMERCY DR SW, ATLANTA, GA 30349-1210
(404) 307-8508
Mailing address
5622 GRAMMERCY DR SW, ATLANTA, GA 30349-1210
(404) 307-8508
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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