Organization
GEORGE TUCKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TUCKER M.D. (PRESIDENT)
(404) 763-3250
Entity
Organization
Contact information
Practice address
505 FAIRBURN ROAD SUITE 206, ATLANTA, GA 30331-2018
(404) 763-3250
(404) 699-2431
Mailing address
505 FAIRBURN ROAD SUITE 206, ATLANTA, GA 30331-2018
(404) 763-3250
(404) 699-2433
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206533G
—
GA
Enumeration date
09/09/2008
Last updated
12/12/2008
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