Individual
DR. JOHN PATRICK TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406A TAYLOR ST, SCOTTSBORO, AL 35768-2424
(256) 574-1050
(256) 574-1045
Mailing address
406A TAYLOR ST, SCOTTSBORO, AL 35768-2424
(256) 574-1050
(256) 574-1045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16639
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051507391
—
AL
05
—
051511261
—
AL
05
—
051535387
—
AL
Enumeration date
09/27/2005
Last updated
10/05/2007
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