Individual
DR. R STEVEN TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-7550
(478) 633-3235
Mailing address
PO BOX 26040, MACON, GA 31221-6040
(478) 475-1299
(478) 405-7928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033217
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000429514H
—
GA
05
—
00429514E
—
GA
01
—
52048753
BCBS OF GA
GA
Enumeration date
11/01/2006
Last updated
12/21/2016
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