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Individual

LEAH M TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
WAKE FOREST GRADUATE MEDICAL EDUCATION OFC, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-5222
Mailing address
WAKE FOREST GRADUATE MEDICAL EDUCATION OFC, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-5222

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019-02424
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2017
Last updated
06/12/2024
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