Individual
MR. WILLIAM ROWLAND TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(443) 202-7725
Mailing address
8324 VICKERS RD, HAHIRA, GA 31632-3214
(229) 292-2687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP 2987192
FL
363L00000X
Nurse Practitioner
Primary
RN115908
GA
Other
Enumeration date
10/05/2012
Last updated
09/19/2020
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