Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN LEE TATE, M.D., MPH
ActiveDR. JORDAN LEE TATE, M.D., MPH is a Interventional Vascular Surgery healthcare provider located in JASPER, Georgia. NPI 1508008079 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · JASPER, GA
Registration Details
- NPI Number
- 1508008079
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2009 (17.384014865428 yrs)
- Last Updated
- May 13, 2022
- Licenses
-
STUDENT (GA)003916 (GA)ME115895 (FL)72139 (GA)
Practice Information
- Address
-
1101 OLD PHILADELPHIA RD STE GJASPER, GA, 301434069Browse GA providers · Browse ZIP 30143
- Phone
- 6789714167
- Fax
- 8339892501
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
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.