STEFANIE SMITH TATE

MACON, GA
NPI1245621705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  RN183587)
Enumeration Date2015-02-05
Last Update Date2026-09-09
Business Address
-- STEFANIE SMITH TATE
3964 ELNORA DR
MACON, GA 31210-1825
Phone number: 478-309-1499
Mailing Address
-- STEFANIE SMITH TATE
3964 ELNORA DR
MACON, GA 31210-1825
Phone number: 478-309-1499