Individual
DR. EVELYN R TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
565 COLUMBIA AVE, STE 100, CHAPIN, SC 29036
(803) 936-7476
(803) 936-7477
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20534
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205343
—
SC
Enumeration date
09/12/2006
Last updated
07/08/2021
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