Individual
JOHN WILLIAM TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
241 CHURCH ST, HAYESVILLE, NC 28904-9688
(828) 389-6383
(828) 389-2322
Mailing address
PO BOX 1309, HAYESVILLE, NC 28904-1309
(828) 389-6383
(828) 389-2322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102348
NC
Other
Enumeration date
11/07/2005
Last updated
05/16/2013
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