Tucker, Dwight Decarlos

Tucker, Dwight Decarlos is an sole proprietor health care provider with primary practice located at 2114 Red Oak Cir , Union City GA 30291-5501. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Tucker, Dwight Decarlos can be contacted via phone (404) 725-4530.

Contact Information

Primary practice address
2114 Red Oak Cir Union City GA 30291-5501
Phone: (404) 725-4530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 171W00000X Georgia

Profile Details

NPI number 1437356664
LBN Legal business name Tucker, Dwight Decarlos
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jul 8th, 2007 - about 19 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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