Gary Jackson Tucker in Marietta - Family Medicine
Gary Jackson Tucker - NPI 1154398493
Gary Jackson Tucker is a Family Medicine in Marietta, Ohio. Gary Jackson Tucker practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary Jackson Tucker is 1154398493. The last update date is 2015-02-20.
Gary Jackson Tucker's current location address is 418 Colegate Dr, Marietta, Ohio. You can contact this provider via phone number 7405680412 and fax number 7405680413. The mailing address for Gary Jackson Tucker is 418 Colegate Dr, Marietta, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Jackson Tucker |
|---|---|
| Address | 418 Colegate Dr, Marietta, Ohio |
| Phone Number | 7405680412 |
| Fax Number | 7405680413 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154398493 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2015-02-20 |
Provider Mailing Address Detail
| Address | 418 Colegate Dr |
|---|---|
| City | Marietta |
| State | Ohio (OH) |
| Post Code | 457509549 |
| Phone Number | 7405680412 |
| Fax Number | 7405680413 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 18392 |
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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 |
|---|---|---|---|
| 193633 | OH | -- | |
| 54604000 | WV | -- | |
| P01036081 | OH | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Jackson Tucker?
The Gary Jackson Tucker has been issued the NPI (National Provider Identifier) 1154398493 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Gary Jackson Tucker located?
The Gary Jackson Tucker is located at 418 Colegate Dr, Marietta, OH 457509549.
What is Gary Jackson Tucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Jackson Tucker is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Gary Jackson Tucker receive its 1154398493 assignment from the Centers for Medicare & Medicaid Services?
The Gary Jackson Tucker was assigned its 1154398493 by the Centers for Medicare & Medicaid Services on 2006-03-07.
When was the Gary Jackson Tucker's information last updated?
The Gary Jackson Tucker's information was last updated on 2015-02-20.