Tucker, Charles L

Tucker, Charles L is an individual health care provider with primary practice located at 724 Arden Lane Suite 220, Rock Hill SC 29732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Tucker, Charles L can be contacted via phone (803) 323-2020.

Contact Information

Primary practice address
724 Arden Lane Suite 220 Rock Hill SC 29732
Phone: (803) 323-2020
Fax: (803) 329-7897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 28369 South Carolina
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 51916 North Carolina

Profile Details

NPI number 1033189501
LBN Legal business name Tucker, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 6th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033189501 NPPES
South Carolina MEDICAID 283696
South Carolina Other 1861433013
South Carolina MEDICAID 5903003

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