Individual
TERRY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1329 CAMELOT DR, FAYETTEVILLE, NC 28304-4903
(910) 425-2266
Mailing address
1329 CAMELOT DR, FAYETTEVILLE, NC 28304-4903
(910) 425-2266
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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