Individual
ELIZABETH ANNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 N ELAM AVE STE 202, GREENSBORO, NC 27403-1142
(336) 299-3183
(336) 299-1762
Mailing address
510 N ELAM AVE STE 202, GREENSBORO, NC 27403-1142
(336) 299-3183
(336) 299-1762
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2014-00558
NC
390200000X
Student in an Organized Health Care Education/Training Program
173363
NC
Other
Enumeration date
06/06/2011
Last updated
08/11/2014
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