Individual
MS. SHAMEKIA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-4815
(803) 744-4900
(770) 502-2056
Mailing address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-4815
(203) 744-4900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN214341
GA
Other
Enumeration date
12/24/2015
Last updated
01/19/2024
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