person
Terrell Sean Tate, BOCP,CO
Prosthetics Case Management in Memphis, Tennessee
NPI 1164929543

Terrell Sean Tate is a Prosthetics Case Management based in Memphis, TN and is specialized in Prosthetics Case Management. Terrell Sean Tate practices in Memphis, TN and has the professional credentials of BOCP,CO. The NPI Number for Terrell Sean Tate is 1164929543 and holds a License No. PRO130 (Tennessee).

The current practice location address for Terrell Sean Tate is 1661 International Drive, Memphis, TN and can be reached out via phone at 901-340-2008.

Location: 1661 International Drive, Memphis, TN, 38120-1431
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Provider Profile Details
NPI Number
1164929543
Provider Name
Terrell Sean Tate
Credential
BOCP,CO
Provider Entity Type
Individual
Gender
Male
Address
1661 International Drive, Memphis, TN, 38120-1431
Phone Number
901-340-2008
Fax Number
Provider Enumeration Date
04/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PRO130 01 TN TN DEPT OF HEALTH DIVISION OF RELATED BOARDS
institution
Provider Business Practice Location Address Details
Address
1661 International Drive
City
State
Zip
38120-1431
Phone Number
901-340-2008
Fax Number
person
Provider Business Mailing Address Details
Address
1661 International Drive
City
State
Zip
38120-1431
Phone Number
901-340-2008
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
PRO130 (Tennessee)
Definition
Definition to come...
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