Jason David Tucker in Charlotte - Sports Medicine
Jason David Tucker - NPI 1689839813
Jason David Tucker is a Sports Medicine in Charlotte, North Carolina. Jason David Tucker practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jason David Tucker is 1689839813. The last update date is 2016-11-03.
Jason David Tucker's current location address is 12312 Copper Way, Charlotte, North Carolina. You can contact this provider via phone number 9808592340 and fax number 8448308115. The mailing address for Jason David Tucker is 12312 Copper Way, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason David Tucker |
|---|---|
| Address | 12312 Copper Way, Charlotte, North Carolina |
| Phone Number | 9808592340 |
| Fax Number | 8448308115 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689839813 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2016-11-03 |
Provider Mailing Address Detail
| Address | 12312 Copper Way |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282773386 |
| Phone Number | 9808592340 |
| Fax Number | 8448308115 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | 1109 |
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Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
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Post Comment/ Review Below
What is the Jason David Tucker's 1689839813?
The Jason David Tucker's NPI (National Provider Identifier) Number is 1689839813. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jason David Tucker is physically located?
The Jason David Tucker is physically situated at the following address: 12312 Copper Way, Charlotte, NC, 282773386.
What is Jason David Tucker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason David Tucker is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 213Es0000X.
When was the Jason David Tucker's 1689839813 issued?
The Jason David Tucker's 1689839813 was issued on 2008-07-28.
As of what date were the details related to Jason David Tucker most recently updated or revised?
The information pertaining to Jason David Tucker, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-03.