Demetra Latrice Tate in Suffolk - Physician Assistant
Demetra Latrice Tate - NPI 1619021250
Demetra Latrice Tate is a Physician Assistant in Suffolk, Virginia. Demetra Latrice Tate practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Demetra Latrice Tate is 1619021250. The last update date is 2023-10-30.
Demetra Latrice Tate's current location address is 2800 Godwin Blvd, Suffolk, Virginia. You can contact this provider via phone number 7579344821 and fax number 7579344276. The mailing address for Demetra Latrice Tate is 2800 Godwin Blvd, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Demetra Latrice Tate |
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Address | 2800 Godwin Blvd, Suffolk, Virginia |
Phone Number | 7579344821 |
Fax Number | 7579344276 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1619021250 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
Address | 2800 Godwin Blvd |
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City | Suffolk |
State | Virginia (VA) |
Post Code | 234348038 |
Phone Number | 7579344821 |
Fax Number | 7579344276 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 110002414 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
What is the unique identification code assigned to Demetra Latrice Tate by the Centers for Medicare & Medicaid Services?
The Demetra Latrice Tate has been issued the NPI (National Provider Identifier) 1619021250. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Demetra Latrice Tate is physically located?
The Demetra Latrice Tate is situated at the following address: 2800 Godwin Blvd, Suffolk, VA 234348038.
What is the area of specialization for Demetra Latrice Tate, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Demetra Latrice Tate is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1619021250 assigned to Demetra Latrice Tate?
The Demetra Latrice Tate was issued its 1619021250 on 2007-01-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Demetra Latrice Tate, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Demetra Latrice Tate, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-30.