Individual
RITA M PHIRI- TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
908 S WILLIAMSON AVE, ELON, NC 27244-9280
(336) 538-2416
Mailing address
908 S WILLIAMSON AVE, ELON, NC 27244-9280
(336) 538-2416
(336) 538-2395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007-01429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908532
—
NC
Enumeration date
10/06/2006
Last updated
03/31/2022
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