Individual
DR. SONNY W. TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO RD, DURHAM, NC 27710-0001
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2008-00963
NC
2086S0129X
Vascular Surgery Physician
A85121
CA
2086S0129X
Vascular Surgery Physician
T0964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909467
—
NC
Enumeration date
05/22/2008
Last updated
05/18/2021
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