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1023187663
JIM B TUCKER
CHARLOTTESVILLE, VA
NPI
1023187663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101044434)
Enumeration Date
2006-11-07
Last Update Date
2023-08-11
Business Address
JIM B TUCKER
310 OLD IVY WAY
CHARLOTTESVILLE, VA 22903-4896
Phone number: 434-243-6950
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Mailing Address
JIM B TUCKER
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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