Individual
MS. BRITTANY WHITESIDE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2010
(843) 724-2005
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1904
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685PA
—
SC
Enumeration date
03/15/2013
Last updated
12/01/2020
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