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1629090964
WILSON LARRY TUCKER
ROME, GA
NPI
1629090964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 031142)
Enumeration Date
2006-07-24
Last Update Date
2014-05-08
Business Address
-- WILSON LARRY TUCKER M.D.
304 SHORTER AVE NW
ROME, GA 30165-4290
Phone number: 706-291-3700
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Mailing Address
-- WILSON LARRY TUCKER M.D.
420 E 2ND AVE SUITE 103
ROME, GA 30161-3224
Phone number: 706-509-3000
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