ROYCE TATE

STOCKBRIDGE, GA
NPI1750552386
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  3224)
Enumeration Date2008-03-24
Last Update Date2008-03-24
Business Address
-- ROYCE TATE CSA
11 CARRIAGE LAKE DR
STOCKBRIDGE, GA 30281-6276
Phone number: 404-446-7169
Mailing Address
-- ROYCE TATE CSA
11 CARRIAGE LAKE DR
STOCKBRIDGE, GA 30281-6276
Phone number: 404-446-7169
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