Wilson Larry Tucker in Rome - Family Medicine
Wilson Larry Tucker - NPI 1629090964
Wilson Larry Tucker is a Family Medicine in Rome, Georgia. Wilson Larry Tucker practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wilson Larry Tucker is 1629090964. The last update date is 2014-05-08.
Wilson Larry Tucker's current location address is 420 E 2nd Ave, Rome, Georgia. You can contact this provider via phone number 7065093000 and fax number 7065094608. The mailing address for Wilson Larry Tucker is 420 E 2nd Ave, Rome, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilson Larry Tucker |
|---|---|
| Address | 420 E 2nd Ave, Rome, Georgia |
| Phone Number | 7065093000 |
| Fax Number | 7065094608 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629090964 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2014-05-08 |
Provider Mailing Address Detail
| Address | 420 E 2nd Ave |
|---|---|
| City | Rome |
| State | Georgia (GA) |
| Post Code | 301613224 |
| Phone Number | 7065093000 |
| Fax Number | 7065094608 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 31142 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00375229S | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wilson Larry Tucker?
The Wilson Larry Tucker has been issued the NPI (National Provider Identifier) 1629090964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Wilson Larry Tucker is physically located?
The Wilson Larry Tucker is situated at the following address: 420 E 2Nd Ave, Rome, GA 301613224.
What is Wilson Larry Tucker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wilson Larry Tucker is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Wilson Larry Tucker receive the assignment of its 1629090964 from the Centers for Medicare & Medicaid Services?
The Wilson Larry Tucker was issued its 1629090964 by the Centers for Medicare & Medicaid Services on 2006-07-24.
When was the information related to Wilson Larry Tucker most recently updated or refreshed?
The details pertaining to the Wilson Larry Tucker, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-08.