Provider Demographics
NPI:1407840143
Name:PATE, LINDA M (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:M
Last Name:PATE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5251-C HIGHWAY 153 #357
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4959
Mailing Address - Country:US
Mailing Address - Phone:423-486-1900
Mailing Address - Fax:423-486-1902
Practice Address - Street 1:5251-C HIGHWAY 153 #357
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4959
Practice Address - Country:US
Practice Address - Phone:423-486-1900
Practice Address - Fax:423-486-1902
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2013-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN31322208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G91979Medicare UPIN