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Gary Tucker
NPI 1083929400 · on the registry since 2010 · sole proprietor
Practice
- Address
- 310 Autumn Ridge Dr
Kosciusko, MS 39090 - Phone
- (662) 289-3499
- Organisation at this address
- Ms State Veterans Home Kosciusko
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi