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
Phone: (843) 724-2260
Fax: (843) 727-3631
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992772636 | NPPES |
South Carolina | MEDICAID | 112267 |
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