Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Addison Tate Debord

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548063142

Addison Tate Debord is a Student in an Organized Health Care Education/Training Program in Monroe, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1106 Reynolds St Ste 100
Monroe, NC 28112-4376
Phone: (704) 289-5443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1548063142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2025
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025
Mailing address1106 Reynolds St Ste 100, Monroe, NC 28112-4376

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