Tucker, Brittany Whiteside
Tucker, Brittany Whiteside is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tucker, Brittany Whiteside can be contacted via phone (843) 724-2010.Contact Information
Primary practice address
316 Calhoun St
Charleston SC 29401-1113
Phone: (843) 724-2010
Fax: (843) 724-2005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1904 | South Carolina |
Profile Details
| NPI number | 1124369194 |
|---|---|
| LBN Legal business name | Tucker, Brittany Whiteside |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2013 |
| Last updated | Dec 1st, 2020 - about 6 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 | 1124369194 | NPPES |
| South Carolina | MEDICAID | 1685PA |
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