Individual
GEORGE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 BOULEVARD, SUITE 328, ATLANTA, GA 30312
(404) 763-3250
(404) 343-3291
Mailing address
315 BOULEVARD, SUITE 328, ATLANTA, GA 30312
(404) 763-3250
(404) 343-3291
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22068
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206533G
—
GA
Enumeration date
11/14/2006
Last updated
06/09/2015
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