JORDAN LEE TATE

JASPER, GA
NPI1508008079
Former NameJORDAN LEE MURPHY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: GA  72139)
Additional Taxonomies207R00000X Internal Medicine
(Licence: GA  Student)
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: GA  003916)
208VP0000X 
(Licence: FL  ME115895)
Enumeration Date2009-03-30
Last Update Date2022-05-13
Business Address
Dr. JORDAN LEE TATE M.D., MPH
1101 OLD PHILADELPHIA RD STE G
JASPER, GA 30143-4069
Phone number: 678-971-4167
Mailing Address
Dr. JORDAN LEE TATE M.D., MPH
PO BOX 28415
BELFAST, ME 04915-2036
Phone number: 888-488-8289