DEREK WILLIAM TUCKER

JESUP, GA
NPI1790331304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2019-08-11
Last Update Date2019-08-11
Business Address
Mr. DEREK WILLIAM TUCKER
110 PROFESSIONAL CT
JESUP, GA 31545-0044
Phone number: 912-427-0800
Mailing Address
Mr. DEREK WILLIAM TUCKER
33 LAURENBURG DR
RICHMOND HILL, GA 31324-5197
Phone number: 912-507-8021
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