Jamesetta Ward Tate M.D.

NPI 1306041454 - Family Medicine - 207Q00000X

NPI Details
NPI 1306041454
Gender Female
Enumeration Date 06/19/2007
Last Updated 01/14/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
SHREVEPORT LA, 71129-5205, US
Phone (318) 603-0440
Business Location
PO BOX 29591
SHREVEPORT LA, 71149-9591, US
Phone (318) 603-0440
Taxonomy Code 207Q00000X
License State Louisiana
License Number MD.015091
Remove 1306041454 NPI Number

According to our database, Mrs. Jamesetta Ward Tate M.D. NPI is 1306041454, taxonomy code is 207Q00000X and license number is MD.015091, license state is located at Louisiana. Jamesetta Ward Tate M.D. physically located at 6823 Pines Rd, Shreveport LA, 71129-5205. NPI Number Jamesetta Ward Tate M.D. has the Individual type.

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1306041454 NPI number is provided on an as is basis without warranty of any kind. 1306041454 is maintained by the National Plan & Provider Enumeration System. The contents of Jamesetta Ward Tate M.D. are for informational purposes only.