Tucker, Lynn Moore

Tucker, Lynn Moore is an individual health care provider with primary practice located at 2728 Sunset Blvd Suite 104, West Columbia SC 29169-4840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Tucker, Lynn Moore can be contacted via phone (803) 939-2722.

Contact Information

Primary practice address
2728 Sunset Blvd Suite 104 West Columbia SC 29169-4840
Phone: (803) 939-2722
Fax: (803) 939-2723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 041695 Georgia

Profile Details

NPI number 1528066909
LBN Legal business name Tucker, Lynn Moore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Feb 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528066909 NPPES
Georgia MEDICAID 000721828B
Georgia MEDICAID G41695

Popular Providers