Tucker, Sheridan G

Tucker, Sheridan G is an individual health care provider with primary practice located at 5000 Highway 39 N , Meridian MS 39301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Tucker, Sheridan G can be contacted via phone (601) 483-6211.

Contact Information

Primary practice address
5000 Highway 39 N Meridian MS 39301
Phone: (601) 483-6211
Fax: (601) 482-3623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16900 Mississippi
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 16900 Mississippi

Profile Details

NPI number 1801971379
LBN Legal business name Tucker, Sheridan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Feb 1st, 2015 - about 9 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 1801971379 NPPES
Mississippi MEDICAID 00122686

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