Individual provider · Type 1 NPI

Glen Edward Tate, MD

Family Medicine Physician · Laurel Fork, VA

NPI number 1720082555 Active

Practice location

14558 Danville Pike
Laurel Fork, VA 24352-3982

Call (276) 398-2292 Map

Fax (276) 398-3331

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X0101034417 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1720082555

Glen Edward Tate, MD's National Provider Identifier is 1720082555, issued on Jun 9, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Laurel Fork, VA. The record was last updated on Mar 5, 2021.