Individual
DR. MARJADA FAITH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 638-9589
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 638-9589
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
102642
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
03/06/2025
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