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Tucker Internal Medicine, Llc
Primary Care Clinic/Center in Tucker, Georgia
NPI 1386908739

Tucker Internal Medicine, Llc is a Primary Care Clinic/Center based in Tucker, GA and is specialized in Primary Care. Tucker Internal Medicine, Llc practices in Tucker, GA. The NPI Number for Tucker Internal Medicine, Llc is 1386908739 and holds a License No. 028960 (Georgia).

The current practice location address for Tucker Internal Medicine, Llc is 4228 First Ave, Tucker, GA and can be reached out via phone at 770-414-5758 and via fax at 770-414-8699.

Location: 4228 First Ave, Tucker, GA, 30085-0506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386908739
Provider Name
Tucker Internal Medicine, Llc
Credential
Provider Entity Type
Organization
Address
4228 First Ave, Tucker, GA, 30085-0506
Phone Number
770-414-5758
Fax Number
770-414-8699
Provider Enumeration Date
06/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000335838K 05 GA
institution
Provider Business Practice Location Address Details
Address
4228 First Ave
City
Tucker
State
Georgia
Zip
30084-4426
Phone Number
770-414-5758
Fax Number
770-414-8699
person
Provider Business Mailing Address Details
Address
4228 First Ave
City
Tucker
State
Georgia
Zip
30084-4426
Phone Number
770-414-5758
Fax Number
770-414-8699
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
028960 (Georgia)
Definition
Definition to come...
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