Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWIGHT DECARLOS TUCKER
Active Sole ProprietorDWIGHT DECARLOS TUCKER is a Contractor healthcare provider located in UNION CITY, Georgia. NPI 1437356664 is currently active in the NPPES registry. Verify at CMS.
Contractor · UNION CITY, GA
Registration Details
- NPI Number
- 1437356664
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.149673996393 yrs)
- Last Updated
- Jul 8, 2007
- License
-
171W00000X (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2114 RED OAK CIRUNION CITY, GA, 302915501Browse GA providers · Browse ZIP 30291
- Phone
- 4047254530
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in UNION CITY, GA
| Name | Credential | NPI |
|---|---|---|
| SEAN SHURON TAYLOR | — | 1619519543 |
| BRIANNA MEW | — | 1952132383 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.