Search › Mississippi › 376K00000X

Shanterika Tate

NPI 1770100109 · on the registry since 2020 · sole proprietor

Practice

Address
5407 Martin Luther King Blvd
Moss Point, MS 39563
Phone
(228) 205-8303

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
374U00000X
376J00000X
Sex
Female
Record last updated
2020-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi