Jennifer E Tucker
MD | Pediatric Emergency Medicine | Female
Jennifer E Tucker, MD is a Augusta, Georgia based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Jennifer E Tucker is
1120 15th St, Augusta, Georgia - 30912-0004. She can be contacted on phone at
706-721-4951 and fax number 706-721-7941.
Jennifer E Tucker is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer E Tucker is
1114038148 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 01 Apr, 2011.
Jennifer E Tucker license number is
056233 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Georgia.
Jennifer E Tucker has special qualifications to manage emergencies in infants and children.
Complete Profile:
Jennifer E Tucker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Jennifer E Tucker |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jennifer E Tucker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 15th St
Augusta, GA, 30912-0004
United States |
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| Phone Number : | 706-721-4951 |
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| Fax Number : | 706-721-7941 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114038148 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 01 Apr, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer E Tucker are as mentioned. Primary taxonomy code for Jennifer E Tucker, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 056233 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer E Tucker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| T67371 | MEDICAID | SC | |
| 799568087A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1499 Walton Way, Ste 1400
Augusta, GA, 30901-2602
United States |
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| Phone Number : | 706-721-4951 |
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Business Location:
Patients can refer following map for directions to
Jennifer E Tucker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.