Tucker Medical Center P.c.

NPI 1235403353 - Family Medicine - 207Q00000X

NPI Details
NPI 1235403353
Enumeration Date 03/07/2012
Last Updated 03/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JOHN L JOHN
Position PRESIDENT
Phone (770) 938-0275
Fax (770) 939-6225
Practice Location
4445 COWAN RD
TUCKER GA, 30084-4829, US
Phone (770) 938-0275
Fax (770) 939-6225
Business Location
4445 COWAN RD
TUCKER GA, 30084-4829, US
Phone (770) 938-0275
Fax (770) 939-6225
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 34211
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According to our database, Tucker Medical Center P.c. NPI is 1235403353, taxonomy code is 207Q00000X and license number is 34211, license state is located at Georgia. Tucker Medical Center P.c. physically located at 4445 Cowan Rd, Tucker GA, 30084-4829. NPI Number 1033115704 has the healthcare provider type.

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1235403353 NPI number is provided on an as is basis without warranty of any kind. 1235403353 is maintained by the National Plan & Provider Enumeration System. The contents of Tucker Medical Center P.c. are for informational purposes only.