Individual
DR. PATRICK EDWIN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 GETWELL RD STE 1, CORINTH, MS 38834-6762
(662) 287-7138
(662) 287-7157
Mailing address
2601 GETWELL RD, STE 1, CORINTH, MS 38834-6762
(662) 287-7138
(662) 287-7157
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12549
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111263
—
MS
Enumeration date
07/27/2006
Last updated
07/08/2021
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