person
Mr. Charles Thomas Tucker, MD
Nephrology Physician in Jesup, Georgia
NPI 1831204478

Charles Thomas Tucker is a Nephrology Physician based in Brunswick, GA and is specialized in Nephrology. Charles Thomas Tucker practices in Jesup, GA and has the professional credentials of MD. The NPI Number for Charles Thomas Tucker is 1831204478 and holds a License No. 026402 (Georgia).

The current practice location address for Charles Thomas Tucker is 111 Colonial Way Ste 2, Jesup, GA and can be reached out via phone at 912-588-1919 and via fax at 912-588-1919.

Location: 111 Colonial Way Ste 2, Jesup, GA, 31525-0559
person
Provider Profile Details
NPI Number
1831204478
Provider Name
Charles Thomas Tucker
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Colonial Way Ste 2, Jesup, GA, 31525-0559
Phone Number
912-588-1919
Fax Number
912-588-1919
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01035667 01 GA AMERIGROUP
390004393 01 GA RAILROAD MEDICARE
616370 01 GA BLUE SHIELD
000291079A 05 GA
N363398 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
111 Colonial Way Ste 2
City
State
Zip
31545-0132
Phone Number
912-588-1919
Fax Number
912-588-1919
person
Provider Business Mailing Address Details
Address
111 Colonial Way Ste 2
City
State
Zip
31545-0132
Phone Number
912-588-1919
Fax Number
912-588-1919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
026402 (Georgia)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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