Tuck, Stuart M.

Tuck, Stuart M. is an individual health care provider with primary practice located at 5445 Meridian Mark Rd Ste 390 , Atlanta GA 30342-4755. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tuck, Stuart M. can be contacted via phone (404) 237-3668.

Contact Information

Primary practice address
5445 Meridian Mark Rd Ste 390 Atlanta GA 30342-4755
Phone: (404) 237-3668
Fax: (770) 939-7393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000590 Georgia

Profile Details

NPI number 1649230335
LBN Legal business name Tuck, Stuart M.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649230335 NPPES
Georgia Other 3753794 AETNA
Georgia MEDICAID 00400144A AETNA
Georgia Other P00225317 AETNA
Georgia Other 1289698 AETNA
Georgia Other 289002 AETNA

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