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Individual

MS. SANDRA L TUCKER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
APRN BC

Contact information

Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2784
(803) 576-2999
Mailing address
1409 TUDOR LN, CAMDEN, SC 29020-3350
(803) 425-4683

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
282
SC

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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