Tucker, William Martin
Tucker, William Martin is an individual health care provider with primary practice located at 119 Springhall Dr , Goose Creek SC 29445-5368. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tucker, William Martin can be contacted via phone (843) 266-2520.Contact Information
Primary practice address
119 Springhall Dr
Goose Creek SC 29445-5368
Phone: (843) 266-2520
Fax: (843) 553-4436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 26336 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26336 | South Carolina |
Profile Details
| NPI number | 1790861409 |
|---|---|
| LBN Legal business name | Tucker, William Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 8th, 2021 - about 4 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 | 1790861409 | NPPES |
| South Carolina | MEDICAID | 263360 |
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