Retherford, Wayde Tucker

Retherford, Wayde Tucker is an individual health care provider with primary practice located at 4318 5Th Ave , Marianna FL 32446-2182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Retherford, Wayde Tucker can be contacted via phone (850) 526-5300.

Contact Information

Primary practice address
4318 5Th Ave Marianna FL 32446-2182
Fax: (850) 526-2001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME152692 Florida

Profile Details

NPI number 1861952624
LBN Legal business name Retherford, Wayde Tucker
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated Aug 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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