Organization
828 GROUPMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SEAN TUCKER M.D. (SOLE PROPRIETOR)
(404) 763-3250
Entity
Organization
Contact information
Practice address
285 BOULEVARD NE, SUITE 610, ATLANTA, GA 30312-4205
(404) 222-9914
Mailing address
PO BOX 55306, ATLANTA, GA 30308-5306
(404) 763-3250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
055033
GA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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