Individual
DR. CHARLES L TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 HOSPITAL DR, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6060
(870) 257-7667
Mailing address
195 HOSPITAL DR, CHEROKEE VILLAGE, AR 72529-7314
(870) 257-6061
(870) 257-7667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C3379
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105959001
—
AR
Enumeration date
06/10/2005
Last updated
07/27/2013
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