Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tate D Park

Individual provider Driver · NPI 1417860164

Tate D Park is a Driver in Graham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

1208 E Main St
Graham, NC 27253-8547
Phone: (336) 972-2679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 000044383480 (NC)

Record details

NPI number1417860164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 24, 2026
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026

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