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1245621705
STEFANIE SMITH TATE
MACON, GA
NPI
1245621705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN183587)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- STEFANIE SMITH TATE
550 PROFESSIONAL DR
MACON, GA 31201-1411
Phone number: 478-741-3007
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Mailing Address
-- STEFANIE SMITH TATE
550 PROFESSIONAL DR
MACON, GA 31201-1411
Phone number: 478-741-3007
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