Tucker, Wade

Tucker, Wade is an individual health care provider with primary practice located at 1420 S 28Th Ave , Hattiesburg MS 39402-3107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Tucker, Wade can be contacted via phone (601) 264-3937.

Contact Information

Primary practice address
1420 S 28Th Ave Hattiesburg MS 39402-3107
Phone: (601) 264-3937
Fax: (601) 264-5930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28845 Mississippi
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1598299810
LBN Legal business name Tucker, Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2017
Last updated Jul 9th, 2021 - about 5 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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