Individual
WILLIAM MARTIN TUCKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 SPRINGHALL DR, GOOSE CREEK, SC 29445-5368
(843) 266-2520
(843) 553-4436
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26336
SC
207Q00000X
Family Medicine Physician
Primary
26336
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263360
—
SC
Enumeration date
10/27/2006
Last updated
06/08/2021
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