Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CRYSTAL LANE TATE, M.D.
Active Sole ProprietorDR. CRYSTAL LANE TATE, M.D. is a Family Medicine healthcare provider located in ECRU, Mississippi. NPI 1255390472 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ECRU, MS
Registration Details
- NPI Number
- 1255390472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2006 (20.400069166378 yrs)
- Last Updated
- Dec 4, 2008
- License
-
13565 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
375 MAIN STECRU, MS, 388419118Browse MS providers · Browse ZIP 38841
- Phone
- 6624895609
- Fax
- 6624893814
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.