Individual
DR. N TUCKER MATTOX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 532-0056
Mailing address
454 TAYLOR RD, MONTGOMERY, AL 36117-3563
(334) 613-9000
(334) 532-0056
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.19617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000037191
—
AL
05
—
009939303
—
AL
05
—
009939304
—
AL
01
—
0910074
UNITED HEALTHCARE
AL
01
—
200026242
RAILROAD MEDICARE
—
01
—
510-01296
BCBS
AL
01
—
510-07508
BCBS
AL
01
—
510-37191
BCBS
AL
01
—
515-10572
BCBS
AL
Enumeration date
03/23/2006
Last updated
09/18/2024
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