Organization
DR PAMELA TUCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA P TUCK MD (OWNER)
(334) 396-7865
Entity
Organization
Contact information
Practice address
300 TAYLOR RD, SUITE 600, MONTGOMERY, AL 36117-3521
(334) 396-7865
(334) 396-7868
Mailing address
300 TAYLOR RD, SUITE 600, MONTGOMERY, AL 36117-3521
(334) 396-7865
(334) 396-7868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00023723
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K806
MEDICARE
AL
Enumeration date
08/25/2006
Last updated
12/11/2007
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