Individual
DR. ALEX SHANE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
TOWNE CENTER 2409 HWY 17, RICHMOND HILL, GA 31324
(912) 756-3331
(912) 756-5904
Mailing address
516 GREENWICH DR, RICHMOND HILL, GA 31324-3802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20913
GA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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