| Jason D. Tucker, Md | |
|
980 Drayton Ave Elba AL 36323-1404 | |
| (334) 897-3800 | |
| (334) 897-3804 |
| Full Name | Jason D. Tucker, Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 980 Drayton Ave, Elba, Alabama |
| Authorized Official Name and Position | Ellen C Briley (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3348972257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason D. Tucker, Md 980 Drayton Ave Elba AL 36323-1404 Ph: (334) 897-3800 | Jason D. Tucker, Md 980 Drayton Ave Elba AL 36323-1404 Ph: (334) 897-3800 |
| NPI Number | 1215235072 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215235072 | NPI | - | NPPES |
| 91689839813 | Other | INDIVIDUAL NPI | |
| M030769 | Other | AL | STATE MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M030769 (Alabama) | Primary |
Mizell Memorial Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-493-5713 | |
Elba Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 987 Drayton Ave, Elba, AL 36323 Phone: 334-897-2257 | |
First Med Of Elba Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 Larkin Rd, Elba, AL 36323 Phone: 334-897-2207 Fax: 334-853-0128 | |
Joyce P. Goetsch, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Drayton Ave, Elba, AL 36323 Phone: 334-897-3800 Fax: 334-897-3804 | |
Dr. Glenn Roberts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 978 Drayton Ave, Elba, AL 36323 Phone: 334-897-2597 Fax: 334-897-6662 | |
Lance K. Dyess, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Drayton Ave, Elba, AL 36323 Phone: 334-897-2207 Fax: 334-897-3476 |