Organization
IDEAL URGENT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE TUCKER MD (PRESIDENT)
(770) 315-6797
Entity
Organization
Contact information
Practice address
3523 BUFORD HWY NE, SUITE 100B, ATLANTA, GA 30329-1278
(770) 315-6797
Mailing address
PO BOX 1644, MABLETON, GA 30126-1010
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
022068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08301947
DATE OF BIRTH
—
Enumeration date
05/11/2008
Last updated
05/11/2008
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