Individual
MRS. ALEXANDRA RUTHANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1202 E BUTLER RD, GREENVILLE, SC 29607-5910
(864) 627-3800
Mailing address
233 LIGHTBOURNE DR APT 3F, SPARTANBURG, SC 29301-5396
(803) 719-6314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4914
SC
Other
Enumeration date
09/13/2023
Last updated
10/18/2023
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