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Individual

TAMI TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.F.M.

Contact information

Practice address
1025 CONCORD PKWY N, CONCORD, NC 28027-5923
(704) 782-0908
(704) 786-0469
Mailing address
1025 CONCORD PKWY N, CONCORD, NC 28027-5923
(704) 782-0908
(704) 786-0469

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/12/2008
Last updated
09/12/2008
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