Tucker, Carey Graham

Tucker, Carey Graham is an individual health care provider with primary practice located at 955 Ribaut Rd , Beaufort SC 29902-5441. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tucker, Carey Graham can be contacted via phone (877) 532-6472.

Contact Information

Primary practice address
955 Ribaut Rd Beaufort SC 29902-5441
Phone: (877) 532-6472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1910 South Carolina

Profile Details

NPI number 1265773469
LBN Legal business name Tucker, Carey Graham
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2013
Last updated Nov 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265773469 NPPES
South Carolina MEDICAID 1622PA

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