Individual
STUART M. TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5445 MERIDIAN MARK RD STE 390, ATLANTA, GA 30342-4755
(404) 237-3668
(770) 939-7393
Mailing address
1350 UPPER HEMBREE RD STE 100, ROSWELL, GA 30076-0929
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000590
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00400144A
—
GA
01
—
1289698
UNITED HEALTHCARE
GA
01
—
289002
WELLCARE MEDICARE
GA
01
—
3753794
AETNA
GA
01
—
P00225317
RAILROAD MEDICARE
GA
Enumeration date
03/25/2006
Last updated
07/14/2022
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