Individual provider · Type 1 NPI

Walter Manley Tate, PA-C

Medical Physician Assistant · Taneytown, MD

NPI number 1407681356 Active

Practice location

76 Frederick St
Taneytown, MD 21787-2135

Fax (410) 848-5785

Mailing address

5175 Feeser Rd W
Taneytown, MD 21787-2836

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

3 other providers at this address

About NPI 1407681356

Walter Manley Tate, PA-C's National Provider Identifier is 1407681356, issued on Sep 2, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Taneytown, MD. The record was last updated on Jan 9, 2026.