Tate Medical Associates, Llc | |
88 Clinic Rd. Tate GA 30177 | |
(404) 310-1383 | |
Not Available |
Full Name | Tate Medical Associates, Llc |
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Speciality | Family Medicine |
Location | 88 Clinic Rd., Tate, Georgia |
Authorized Official Name and Position | Nancy Q. Lefever (PHYSICIAN/OWNER) |
Authorized Official Contact | 4043101383 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tate Medical Associates, Llc Po Box 680 Tate GA 30177-0680 Ph: () - | Tate Medical Associates, Llc 88 Clinic Rd. Tate GA 30177 Ph: (404) 310-1383 |
NPI Number | 1932454790 |
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Provider Enumeration Date | 07/18/2012 |
Last Update Date | 07/18/2012 |
Medicare PECOS PAC ID | 9234385865 |
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Medicare Enrollment ID | O20120814000082 |
Identifier | Type | State | Issuer |
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1932454790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 050205 (Georgia) | Primary |
Provider Name | Nancy Q Lefever |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629158852 PECOS PAC ID: 6800878679 Enrollment ID: I20041001000838 |
Provider Name | Jill Northover |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326338609 PECOS PAC ID: 1355513292 Enrollment ID: I20111018000790 |