Basic Information
| Provider Information | |||||||||
| NPI: | 1366405938 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATE | ||||||||
| FirstName: | CHRIS | ||||||||
| MiddleName: | ANTHONY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2280 US HIGHWAY 70 W | ||||||||
| Address2: | |||||||||
| City: | GOLDSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275309546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197351400 | ||||||||
| FaxNumber: | 9195810353 | ||||||||
| Practice Location | |||||||||
| Address1: | 2280 US HIGHWAY 70 W | ||||||||
| Address2: | |||||||||
| City: | GOLDSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275309546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197351400 | ||||||||
| FaxNumber: | 9195810353 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2006 | ||||||||
| LastUpdateDate: | 12/30/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 32555 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1148T | 01 | NC | BCBS NUMBER | OTHER | 891148T | 05 | NC | MEDICAID |