Thomas Dale Tate in Wilmington - General Practice

Thomas Dale Tate - NPI 1316942527

Thomas Dale Tate is a General Practice in Wilmington, North Carolina. Thomas Dale Tate practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas Dale Tate is 1316942527. The last update date is 2009-11-16.

Thomas Dale Tate's current location address is 4402 Shipyard Blvd, Wilmington, North Carolina. You can contact this provider via phone number 9104521400 and fax number 9103321072. The mailing address for Thomas Dale Tate is 4402 Shipyard Blvd, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Dale Tate
Address 4402 Shipyard Blvd, Wilmington, North Carolina
Phone Number 9104521400
Fax Number 9103321072
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316942527
Provider Enumeration Date 2005-06-15
Last Updated Date 2009-11-16

Provider Mailing Address Detail

Address 4402 Shipyard Blvd
City Wilmington
State North Carolina (NC)
Post Code 2840361610
Phone Number 9104521400
Fax Number 9103321072

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 29804
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
81658 NC BCBS
B4136 NC MEDCOST
80125891 NC RAILROAD MEDICARE
01-28815 NC UNITED HEALTHCARE

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FAQs about Thomas Dale Tate

What is the unique 10-digit identifier code issued to Thomas Dale Tate by the Centers for Medicare & Medicaid Services?

The Thomas Dale Tate has been assigned the NPI (National Provider Identifier) 1316942527 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Thomas Dale Tate is located?

The Thomas Dale Tate is situated at the following address: 4402 Shipyard Blvd, Wilmington, NC, 2840361610.

What is Thomas Dale Tate's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Thomas Dale Tate is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

When was the Thomas Dale Tate's 1316942527 issued?

The Thomas Dale Tate's 1316942527 was issued on 2005-06-15.

When was the information related to Thomas Dale Tate most recently updated or refreshed?

The details pertaining to the Thomas Dale Tate, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-11-16.

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