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Individual
WILLIAM T. TUCKER
Active
Individual
WILLIAM T. TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005610303
—
VA
01
—
010420024
MEDICAID OF VA
VA
01
—
085091
ANTHEM BCBS OF VA
VA
05
—
1326072778
—
VA
01
—
1459024
CIGNA
VA
01
—
4073378
AETNA HMO
VA
01
—
43286
SENTARA
VA
01
—
57302
SOUTHERN HEALTH SERVICES
VA
Enumeration date
07/10/2006
Last updated
02/04/2022
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