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
Fax: (912) 350-7690
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124431531 NPPES
Georgia MEDICAID 003147133A
Georgia Other P01333776

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