Individual
DR. ANDREW TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5354 REYNOLDS STREET, SUITE 422, SAVANNAH, GA 31405
(912) 354-2634
(912) 354-8375
Mailing address
836 E. 65TH STREET, SUITE 22, SAVANNAH, GA 31405
(912) 819-7878
(912) 819-3320
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
055706
GA
207V00000X
Obstetrics & Gynecology Physician
55706
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-2647012
IRS TAX ID
GA
Enumeration date
02/10/2006
Last updated
11/05/2020
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