Individual
JONATHAN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 EAST CUTLAR CROSSING, UNIT 110, LELAND, NC 28451
(910) 371-1200
Mailing address
1160 EAST CUTLAR CROSSING, UNIT 110, LELAND, NC 28451
(910) 371-1200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
STUDENT
NC
Other
Enumeration date
03/11/2024
Last updated
02/12/2026
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