Glen Edward Tate, MD
Glen Edward Tate, MD is a Family Medicine Physician in Laurel Fork, Virginia. Licensed in Virginia. Registered with an NPI since 2005.
- Licensed in
- VA
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
14558 Danville PikeLaurel Fork, VA 24352-3982
Phone: (276) 398-2292
Fax: (276) 398-3331
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 0101034417 (VA) |
|---|
Record details
| NPI number | 1720082555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 9, 2005 |
| Last updated in NPPES | March 5, 2021 |
| Certification date | March 5, 2021 |
| Mailing address | Po Box 9, Laurel Fork, VA 24352-0009 |
Other providers in Laurel Fork
-
Laurel Fork Family Practice
1205 Stone Mountain Rd, Laurel Fork, VA 24352 · (276) 398-2532
-
Jeffrey Stewart Peele, MD
14558 Danville Pike, Laurel Fork, VA 24352-3982 · (276) 398-1200