Individual
DR. CHARLES THOMAS TUCKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3014 WADE HAMPTON BLVD, TAYLORS, SC 29687-2716
(864) 292-6777
Mailing address
3014 WADE HAMPTON BLVD, TAYLORS, SC 29687-2716
(864) 292-6777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4584
SC
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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