Individual
MILOS TUCAKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 OLD JEFFERSON ROAD, BLDG 200 STE A, ATHENS, GA 30607
(706) 549-5560
(706) 353-0636
Mailing address
3320 OLD JEFFERSON ROAD, BLDG 200 STE A, ATHENS, GA 30607
(706) 549-5560
(706) 353-0636
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
59221
GA
207RP1001X
Pulmonary Disease Physician
Primary
59221
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
59221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018906500001
—
PA
05
—
059880494A
—
GA
Enumeration date
05/24/2006
Last updated
02/19/2009
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