# 828 GROUPMED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689818254
- **Authorized official:** DR. GEORGE SEAN TUCKER M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (404) 763-3250

## Contact information

- **Practice address:** 285 BOULEVARD NE, SUITE 610, ATLANTA, GA 30312-4205
- **Practice address phone:** (404) 222-9914
- **Mailing address:** PO BOX 55306, ATLANTA, GA 30308-5306
- **Mailing address phone:** (404) 763-3250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 055033 | GA | Yes |

## Other

- **Enumeration date:** 04/28/2009
- **Last updated:** 04/28/2009