Individual
TUCKER MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7100
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.076646
IL
207P00000X
Emergency Medicine Physician
Primary
96620
GA
Other
Enumeration date
06/12/2020
Last updated
08/04/2023
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