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Individual
WILLIAM STUART TUCKER JR.
Active
Individual
WILLIAM STUART TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110214042
MEDICARE RAILROAD
NC
05
—
1275556193
—
NC
05
—
7983930
—
NC
05
—
N27861
—
SC
Enumeration date
07/25/2006
Last updated
11/23/2016
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