NPI | 1295147890 |
---|---|
Other Name | AOS8 TUCKER |
Entity Type | Organization |
Authorized Contact | FRANCIS K ACQUAH Owner 678-701-2225 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2014-05-30 |
Last Update Date | 2024-02-28 |