Organization
LANDRUM S. TUCKER, JR., MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANDRUM S TUCKER JR. M.D. (PRESIDENT)
(919) 967-3147
Entity
Organization
Contact information
Practice address
2005 N LAKESHORE DR, CHAPEL HILL, NC 27514-2025
(919) 967-3147
(919) 967-3454
Mailing address
2005 N LAKESHORE DR, CHAPEL HILL, NC 27514-2025
(919) 967-3147
(919) 967-3454
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
40369
NC
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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