Tucker, Evelyn R
Tucker, Evelyn R is an individual health care provider with primary practice located at 565 Columbia Ave Ste 100, Chapin SC 29036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Tucker, Evelyn R can be contacted via phone (803) 936-7476.Contact Information
Primary practice address
565 Columbia Ave Ste 100
Chapin SC 29036
Phone: (803) 936-7476
Fax: (803) 936-7477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 20534 | South Carolina |
Profile Details
| NPI number | 1396849006 |
|---|---|
| LBN Legal business name | Tucker, Evelyn R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 8th, 2021 - about 5 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 | 1396849006 | NPPES |
| South Carolina | MEDICAID | 205343 |
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