Jerry Dewayne Tucker in Camp Lejeune - Medical Technologist
Jerry Dewayne Tucker - NPI 1407998404
Jerry Dewayne Tucker is a Medical Technologist in Camp Lejeune, North Carolina. Jerry Dewayne Tucker practices all healthcare services and medical treatments related to Medical Technologist. The NPI Number for Jerry Dewayne Tucker is 1407998404. The last update date is 2007-07-08.
Jerry Dewayne Tucker's current location address is Us Coast Guard Special Missions Training Center, Camp Lejeune, North Carolina. You can contact this provider via phone number 9103760773 and fax number 9104507040. The mailing address for Jerry Dewayne Tucker is Us Coast Guard Special Missions Training Center, Camp Lejeune, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Dewayne Tucker |
|---|---|
| Address | Us Coast Guard Special Missions Training Center, Camp Lejeune, North Carolina |
| Phone Number | 9103760773 |
| Fax Number | 9104507040 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407998404 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Us Coast Guard Special Missions Training Center |
|---|---|
| City | Camp Lejeune |
| State | North Carolina (NC) |
| Post Code | 28542 |
| Phone Number | 9103760773 |
| Fax Number | 9104507040 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Technologist |
|---|---|
| Taxonomy | 246Qm0706X |
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Definition: Performs complex lab tests that analyze body fluids, cells and substances to detect abnormalities and support diagnosis. |
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What is the unique 10-digit identification code issued to Jerry Dewayne Tucker by the Centers for Medicare & Medicaid Services?
The Jerry Dewayne Tucker has been assigned the NPI (National Provider Identifier) 1407998404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jerry Dewayne Tucker's physical address?
The Jerry Dewayne Tucker is physically located at Us Coast Guard Special Missions Training Center, in the city of Camp Lejeune, NC, with the postal code 28542.
What is Jerry Dewayne Tucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry Dewayne Tucker is Medical Technologist, and the taxonomy code that classifies this field of practice is 246Qm0706X.
On what date did Jerry Dewayne Tucker receive its 1407998404 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Dewayne Tucker was assigned its 1407998404 on 2007-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry Dewayne Tucker most recently updated?
The details pertaining to the Jerry Dewayne Tucker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.