DUSTIN M TATE

SNELLVILLE, GA
NPI1811298896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001832)
Enumeration Date2010-11-08
Last Update Date2010-11-08
Business Address
-- DUSTIN M TATE ATC
1800 TREE LN SUITE 140
SNELLVILLE, GA 30078-2016
Phone number: 770-982-1260
Mailing Address
-- DUSTIN M TATE ATC
2400 WISTERIA DR SUITE A
SNELLVILLE, GA 30078-2689
Phone number: 770-982-0102