Individual
DR. DANIEL MCKENDREE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9328
(404) 785-9068
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9328
(404) 785-9068
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
076838
GA
2084P0800X
Psychiatry Physician
ME63609
FL
2084P0804X
Child & Adolescent Psychiatry Physician
19123
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64191232
—
KY
Enumeration date
01/27/2007
Last updated
03/22/2017
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