# IDEAL MEDICAL GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1801034574
- **Authorized official:** GEORGE TUCKER MD (CEO/OWNER)
- **Authorized official phone:** (404) 634-4550

## Contact information

- **Practice address:** 3523 BUFORD HWY, STE - 100, ATLANTA, GA 30329-1279
- **Practice address phone:** (404) 634-4550
- **Practice address fax:** (404) 634-8550
- **Mailing address:** 3523 BUFORD HWY, STE 100, ATLANTA, GA 30329
- **Mailing address phone:** (404) 634-4550
- **Mailing address fax:** (404) 634-8550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 022068 | GA | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 02/03/2009