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Individual

DR. N TUCKER MATTOX JR.

Active
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Individual

DR. N TUCKER MATTOX JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.19617
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000037191
—
AL
05
—
009939303
—
AL
05
—
009939304
—
AL
01
—
0910074
UNITED HEALTHCARE
AL
01
—
200026242
RAILROAD MEDICARE
—
01
—
510-01296
BCBS
AL
01
—
510-07508
BCBS
AL
01
—
510-37191
BCBS
AL
01
—
515-10572
BCBS
AL
Enumeration date
03/23/2006
Last updated
09/18/2024
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