Individual
BETH TUCKER PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
4750 WATERS AVE STE 108, SAVANNAH, GA 31404
(912) 350-6543
(912) 350-7690
Mailing address
4750 WATERS AVE STE 108, SAVANNAH, GA 31404-6267
(912) 350-6543
(912) 350-7690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN089977
GA
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN089977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147133A
—
GA
01
—
P01333776
RAILROAD MEDICARE
GA
Enumeration date
06/04/2014
Last updated
02/01/2019
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