Organization
IDEAL MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TUCKER MD (CEO/OWNER)
(404) 634-4550
Entity
Organization
Contact information
Practice address
3523 BUFORD HWY, STE - 100, ATLANTA, GA 30329-1279
(404) 634-4550
(404) 634-8550
Mailing address
3523 BUFORD HWY, STE 100, ATLANTA, GA 30329
(404) 634-4550
(404) 634-8550
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
022068
GA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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