C W Tate Od Associates INC

NPI #1235553157 in Columbus, Georgia

Provider Information

NPI Number: 1235553157
Entity Type: Organization
Organization Name: C W Tate Od Associates INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 12, 2014
Last Updated: Feb 27, 2014

Practice Location

Address: 109 12TH ST
City: Columbus
State: Georgia
ZIP Code: 31901-5245
Phone: (706) 322-5528

Authorized Official

Name: DR. C WATT TATE, O.D.
Title: PRESIDENT
Phone: (706) 322-5528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X	Primary

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