Organization
CHARLES D. TUCKER, M.D., PSC
Active
Other names
Murray Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D TUCKER MD (PHYSICIAN)
(270) 753-8724
Entity
Organization
Contact information
Practice address
300 S 8TH ST, SUITE 382, MURRAY, KY 42071-2400
(270) 753-8724
(270) 767-3638
Mailing address
300 S 8TH ST, SUITE 382, MURRAY, KY 42071-2400
(270) 753-8724
(270) 767-3638
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22873
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048949
BCBS
KY
01
—
3425
BCBS
KY
05
—
64228737
—
KY
Enumeration date
04/04/2007
Last updated
04/22/2009
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