Individual
VICTOR JASON TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20 RIVERBEND DR SW, ROME, GA 30161-6066
(706) 295-0070
(706) 235-1618
Mailing address
20 RIVERBEND DR SW, ROME, GA 30161-6066
(706) 295-0070
(706) 235-1618
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3922
GA
Other
Enumeration date
12/01/2005
Last updated
07/08/2007
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