Individual
MARY GUERRY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 STONY POINT PKWY, SUITE 220, RICHMOND, VA 23235-1962
(804) 323-0830
(804) 323-0829
Mailing address
8700 STONY POINT PKWY, SUITE 220, RICHMOND, VA 23235-1962
(804) 323-0830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101041404
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094393
ANTHEM BC/BS
VA
01
—
212119
CIGNA
VA
01
—
4206810
AETNA
VA
05
—
6330223
—
VA
Enumeration date
07/24/2006
Last updated
11/05/2007
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