Perdue, Beth Tucker
Perdue, Beth Tucker is an individual health care provider with primary practice located at 4750 Waters Ave Ste 108 , Savannah GA 31404. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Perdue, Beth Tucker can be contacted via phone (912) 350-6543.Contact Information
Primary practice address
4750 Waters Ave Ste 108
Savannah GA 31404
Phone: (912) 350-6543
Fax: (912) 350-7690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN089977 | Georgia |
| Nursing Service Providers / Diabetes Educator | 163WD0400X | RN089977 | Georgia |
Profile Details
| NPI number | 1124431531 |
|---|---|
| LBN Legal business name | Perdue, Beth Tucker |
| Credentials | RN, CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2014 |
| Last updated | Feb 1st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124431531 | NPPES |
| Georgia | MEDICAID | 003147133A | |
| Georgia | Other | P01333776 |
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