Tucker Internal Medicine, Llc

LBN: Tucker Internal Medicine, Llc
Tucker Internal Medicine, Llc is an health care organization with primary practice located at 4228 First Ave Ste 1, Tucker GA 30084-4426. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Tucker Internal Medicine, Llc can be contacted via phone (770) 414-5758, or through Davidson, Laura E via phone (770) 366-1229.

Contact Information

Primary practice address
4228 First Ave Ste 1 Tucker GA 30084-4426
Phone: (770) 414-5758
Fax: (770) 414-8699
Website:
Map and Directions
Authorized official contact:
Name: Davidson, Laura E Doctor of Medicine (MD)
Phone: (770) 366-1229

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 028960 Georgia

Profile Details

NPI number 1386908739
LBN Legal business name Tucker Internal Medicine, Llc
DBA Doing business as
Authorized official Davidson, Laura E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2012
Last updated Jun 30th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386908739 NPPES
Georgia MEDICAID 000335838K

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