Individual provider · Type 1 NPI

Michael David Tada Jr., DO

Student in an Organized Health Care Education/Training Program · Lumberton, NC

NPI number 1922856988 Active

Practice location

395 W 27th St
Lumberton, NC 28358-3018

Call (910) 739-7551 Map

Mailing address

300 W 27th St
Lumberton, NC 28358-3075

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922856988

Michael David Tada Jr., DO's National Provider Identifier is 1922856988, issued on May 7, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lumberton, NC. The record was last updated on May 7, 2024.