Tucker, Warren Glynn

Tucker, Warren Glynn is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Tucker, Warren Glynn can be contacted via phone (843) 724-2260.

Contact Information

Primary practice address
316 Calhoun St Charleston SC 29401-1113
Fax: (843) 727-3631
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 11226 South Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11226 South Carolina

Profile Details

NPI number 1992772636
LBN Legal business name Tucker, Warren Glynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 21st, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992772636 NPPES
South Carolina MEDICAID 112267

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