NPI age
13 years
Enumerated 2012-06-30
● Active Type 2 · Organization
Tucker Internal Medicine, Llc
Tucker Internal Medicine, Llc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davidson
Owner
Last NPPES update
2012-06-30
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
13 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
4228 First Ave, Ste 1
Tucker, GA 300844426
Mailing address
Po Box 506
Tucker, GA 300850506
Authorized official
Laura E Davidson, MD
Owner
📞 7703661229
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000335838K |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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