Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN TATE JR., MS, ATC
ActiveBENJAMIN TATE JR., MS, ATC is a Sports Medicine (PM&R) healthcare provider located in GRANVILLE, Ohio. NPI 1477170603 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · GRANVILLE, OH
Registration Details
- NPI Number
- 1477170603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2020 (6.1184278115715 yrs)
- Last Updated
- Jul 4, 2020
- License
-
AT004792 (OH)
Practice Information
- Address
-
100 W COLLEGE STGRANVILLE, OH, 430231100Browse OH providers · Browse ZIP 43023
- Phone
- 7405875063
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.