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Individual

JIM B TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
310 OLD IVY WAY, CHARLOTTESVILLE, VA 22903-4896
(434) 243-6950
(434) 243-6970
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101044434
VA

Other

Enumeration date
11/07/2006
Last updated
08/11/2023
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