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GEORGE TUCKER MD PC NPI 1316195803


NPI Information

NPI: 1316195803
Provider Name: GEORGE TUCKER MD PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
505 FAIRBURN ROAD SUITE 206
ATLANTA, GA
ZIP 30331
Phone: (404) 763-3250
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GEORGE TUCKER MD PC is an obstetrics gynecology in Atlanta, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GEORGE TUCKER MD PC NPI is 1316195803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 FAIRBURN ROAD SUITE 206
ATLANTA, GA
ZIP 30331-018
Phone: (404) 763-3250
Fax: (404) 699-2431

The provider's authorized official is George Tucker .
The authorized official title is President and has the following contact phone number (404) 763-3250.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 12/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology22068GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D91033MEDICARE UPINGEORGIA
2000206533GMEDICAIDGEORGIA
316BBCXWMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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