Individual
DR. PETER LOREN TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 BILLINGSLEY RD, SUITE 105, CHARLOTTE, NC 28211
(704) 375-2222
(704) 375-6008
Mailing address
300 BILLINGLEY RD, SUITE 105, CHARLOTTE, NC 28211
(704) 375-2222
(704) 375-6008
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
31213
NC
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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