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Contact Information

JEFFREY G TUCKER, MD
980 SANDERS RD
SUITE 100
CUMMING, GA30041-5977
 Phone: 770-886-1074
 Fax: 770-205-4717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JEFFREY G TUCKER · (Male)

NPI Number 1265426738
Status Active
Credentials MD
Entity Individual
Enumeration date 09/09/2005
Last updated 01/11/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 034068
  • GA Medicaid 000468608K
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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