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NPI Code Detail

MEDICARE: VERNON TUCKER

MEDICARE: VERNON TUCKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerNC

General Provider Information

NPI Number : 1578941035
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERNON TUCKER
Provider Business Mailing Address
First Line : 1110 KENAN DR
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-9094
Country : US
Telephone Number : 910-764-9135
Fax Number :
Provider Business Practice Location Address
First Line : 401 ROBESON ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-5635
Country : US
Telephone Number : 910-321-0069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2015
Last Update Date : 05/15/2015

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Directions to “ VERNON TUCKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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