CARLA TATE

SNELLVILLE, GA
NPI1578942009
Professional NameCARLA BROWN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN204127)
Additional Taxonomies302R00000X Health Maintenance Organization
(Licence: GA  RN204127)
Enumeration Date2015-05-29
Last Update Date2025-12-18
Business Address
CARLA TATE
3310 LONGFIELD DR
SNELLVILLE, GA 30039
Phone number: 205-492-2645
Mailing Address
CARLA TATE
316 COLLINGSWORTH TRCE
LAWRENCEVILLE, GA 30043-7576
Phone number: