Individual
TUCKER ELLIOTT POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6708 STONEBROOK DR N, MOBILE, AL 36695-3044
(251) 635-3001
Mailing address
6708 STONEBROOK DR N, MOBILE, AL 36695-3044
(251) 635-3001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.2492
AL
Other
Enumeration date
07/26/2023
Last updated
11/01/2024
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