Tucker Family Practice, L.l.c.

NPI 1275840068 - Family Medicine - 207Q00000X

NPI Details
NPI 1275840068
Enumeration Date 09/01/2010
Last Updated 09/01/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name FEROZ ALI FEROZ ALI
Position PHYSICIAN/OWNER
Phone (770) 938-5552
Fax
Practice Location
1462 MONTREAL RD
SUITE 307
TUCKER GA, 30084-6929, US
Phone (770) 938-5552
Fax
Business Location
1462 MONTREAL RD
SUITE 307
TUCKER GA, 30084-6929, US
Phone (770) 938-5552
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 059885
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According to our database, Tucker Family Practice, L.l.c. NPI is 1275840068, taxonomy code is 207Q00000X and license number is 059885, license state is located at Georgia. Tucker Family Practice, L.l.c. physically located at 1462 Montreal Rd, Tucker GA, 30084-6929. NPI Number 1033115704 has the healthcare provider type.

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1275840068 NPI number is provided on an as is basis without warranty of any kind. 1275840068 is maintained by the National Plan & Provider Enumeration System. The contents of Tucker Family Practice, L.l.c. are for informational purposes only.