TERRELL SEAN TATE

MEMPHIS, TN
NPI1164929543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist Prosthetics Case Management
(Licence: TN  PRO130)
Enumeration Date2018-04-11
Last Update Date2021-05-28
Business Address
TERRELL SEAN TATE BOCP, CO
1661 INTERNATIONAL DRIVE SUITE 400
MEMPHIS, TN 38120-1431
Phone number: 901-340-2008
Mailing Address
TERRELL SEAN TATE BOCP, CO
1661 INTERNATIONAL PLACE DR STE 400
MEMPHIS, TN 38120-1431
Phone number: 901-818-3175
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