Melissa Wilson Tucker M.D.

NPI 1649473919 - Family Medicine - 207Q00000X

NPI Details
NPI 1649473919
Gender Female
Enumeration Date 06/06/2007
Last Updated 09/17/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
3680 SANGANI BLVD
DIBERVILLE MS, 39540-8703, US
Phone (228) 354-9300
Fax (228) 354-9301
Business Location
3680 SANGANI BLVD
DIBERVILLE MS, 39540-8703, US
Phone (228) 354-9300
Fax (228) 354-9301
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 22560
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According to our database, Melissa Wilson Tucker M.D. NPI is 1649473919, taxonomy code is 207Q00000X and license number is 22560, license state is located at Mississippi. Melissa Wilson Tucker M.D. physically located at 3680 Sangani Blvd, Diberville MS, 39540-8703. NPI Number Melissa Wilson Tucker M.D. has the Individual type.

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1649473919 NPI number is provided on an as is basis without warranty of any kind. 1649473919 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Wilson Tucker M.D. are for informational purposes only.