Tucker, Patrick Edwin

Tucker, Patrick Edwin is an individual health care provider with primary practice located at 2601 Getwell Rd Ste 1 , Corinth MS 38834-6762. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Tucker, Patrick Edwin can be contacted via phone (662) 287-7138.

Contact Information

Primary practice address
2601 Getwell Rd Ste 1 Corinth MS 38834-6762
Phone: (662) 287-7138
Fax: (662) 287-7157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 12549 Mississippi

Profile Details

NPI number 1295749349
LBN Legal business name Tucker, Patrick Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2021 - about 5 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 1295749349 NPPES
Mississippi MEDICAID 00111263

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