Search › Mississippi › 207W00000X
Wade Tucker, M.D
NPI 1598299810 · on the registry since 2017
Practice
- Address
- 1420 S 28th Ave
Hattiesburg, MS 39402 - Phone
- (601) 264-3937
- Fax
- (601) 264-5930
- Organisation at this address
- Amy Grubbs, Np-C, Pllc
Southern Eye Center P.A. Ii
Southern Eye Center P.A. Ii
Southern Eye Center P.A. Ii
Southern Eye Surgery Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 390200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-09
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