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TATE MEDICAL ASSOCIATES LLC NPI 1932454790


NPI Information

NPI: 1932454790
Provider Name: TATE MEDICAL ASSOCIATES, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2046722

Address:
88 CLINIC RD.
TATE, GA
ZIP 30177
Phone: (404) 310-1383
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TATE MEDICAL ASSOCIATES, LLC is a family medicine in Tate, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TATE MEDICAL ASSOCIATES, LLC NPI is 1932454790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

88 CLINIC RD.
TATE, GA
ZIP 30177
Phone: (404) 310-1383

The provider's authorized official is Nancy Q. Lefever .
The authorized official title is Physician/owner and has the following contact phone number (404) 310-1383.

The CLIA number assigned to this NPI record is 11D2046722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 7/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine050205GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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