Landrum S. Tucker, Jr., Mdpa

NPI 1255518510 - Clinic/Center - 261QM0850X

NPI Details
NPI 1255518510
Enumeration Date 01/29/2008
Last Updated 01/29/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LANDRUM S LANDRUM
Position PRESIDENT
Phone (919) 967-3147
Fax (919) 967-3454
Practice Location
2005 N LAKESHORE DR
CHAPEL HILL NC, 27514-2025, US
Phone (919) 967-3147
Fax (919) 967-3454
Business Location
2005 N LAKESHORE DR
CHAPEL HILL NC, 27514-2025, US
Phone (919) 967-3147
Fax (919) 967-3454
Toxanomy
Taxonomy Code 261QM0850X
License State North Carolina
License Number 40369
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According to our database, Landrum S. Tucker, Jr., Mdpa NPI is 1255518510, taxonomy code is 261QM0850X and license number is 40369, license state is located at North Carolina. Landrum S. Tucker, Jr., Mdpa physically located at 2005 N Lakeshore Dr, Chapel Hill NC, 27514-2025. NPI Number 1033115704 has the healthcare provider type.

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1255518510 NPI number is provided on an as is basis without warranty of any kind. 1255518510 is maintained by the National Plan & Provider Enumeration System. The contents of Landrum S. Tucker, Jr., Mdpa are for informational purposes only.