Individual
DR. THOMAS DAVID STUCKEY
Active
Individual
DR. THOMAS DAVID STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25192
NC
207RI0011X
Interventional Cardiology Physician
Primary
25192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31439
MEDCOST
NC
01
—
4099008
AETNA
NC
01
—
623
PARTNERS MEDICARE
NC
01
—
80718
BCBS NC
NC
05
—
8980718
—
NC
Enumeration date
05/10/2006
Last updated
09/29/2021
Update your record
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