Individual
DR. WARREN GLYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2260
(843) 727-3631
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
11226
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112267
—
SC
Enumeration date
03/01/2006
Last updated
02/21/2008
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