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DR PAMELA TUCK LLC NPI 1558479162


NPI Information

NPI: 1558479162
Provider Name: DR PAMELA TUCK LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
300 TAYLOR RD
SUITE 600
MONTGOMERY, AL
ZIP 36117
Phone: (334) 396-7865
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DR PAMELA TUCK LLC is a general practice in Montgomery, AL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR PAMELA TUCK LLC NPI is 1558479162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 TAYLOR RD
SUITE 600
MONTGOMERY, AL
ZIP 36117-521
Phone: (334) 396-7865
Fax: (334) 396-7868

The provider's authorized official is Pamela P Tuck .
The authorized official title is Owner and has the following contact phone number (334) 396-7865.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice00023723ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K806OTHERALABAMAMEDICARE
2H45483MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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