Tucker, Dale

Tucker, Dale is an individual health care provider with primary practice located at 1506 Alice St , Waycross GA 31501-4531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tucker, Dale can be contacted via phone (912) 584-6500.

Contact Information

Primary practice address
1506 Alice St Waycross GA 31501-4531
Phone: (912) 584-6500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME76518 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48092 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME76518 Florida

Profile Details

NPI number 1720024425
LBN Legal business name Tucker, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated May 2nd, 2024 - about 2 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 1720024425 NPPES
Florida Other 930119999 RAILROAD MEDICARE
Florida Other 35915 RAILROAD MEDICARE
Florida MEDICAID 261605000 RAILROAD MEDICARE

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