Individual
DR. KEITH ANTHONY TUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 752-5156
(252) 752-0419
Mailing address
2325 STANTONSBURG ROAD, GREENVILLE, NC 27834
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9300351
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83882
BCBS NC
NC
05
—
8983882
—
NC
01
—
P00680954
RAILROAD MEDICARE
NC
Enumeration date
08/31/2006
Last updated
01/07/2022
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