Debord, Addison Tate

Debord, Addison Tate is an individual health care provider with primary practice located at 1106 Reynolds St Ste 100 , Monroe NC 28112-4376. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Debord, Addison Tate can be contacted via phone (704) 289-5443.

Contact Information

Primary practice address
1106 Reynolds St Ste 100 Monroe NC 28112-4376
Phone: (704) 289-5443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2026-04160 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1548063142
LBN Legal business name Debord, Addison Tate
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2025
Last updated Sep 5th, 2026 - about last month

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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