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Individual

GEORGE SEAN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 SOUTHCREST CIR STE 104, SOUTHAVEN, MS 38671-6712
(662) 349-1112
(662) 772-2688
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22162
MS
207V00000X
Obstetrics & Gynecology Physician
47823
TN
207V00000X
Obstetrics & Gynecology Physician
GA-055033
GA

Other

Enumeration date
10/17/2006
Last updated
05/12/2020
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