Provider Demographics
NPI:1053560227
Name:TUCKER, TAMI (CFM)
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:TUCKER
Suffix:
Gender:F
Credentials:CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 CONCORD PKWY N
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-5923
Mailing Address - Country:US
Mailing Address - Phone:704-782-0908
Mailing Address - Fax:704-786-0469
Practice Address - Street 1:1025 CONCORD PKWY N
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-5923
Practice Address - Country:US
Practice Address - Phone:704-782-0908
Practice Address - Fax:704-786-0469
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist