Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON DAVID TUCKER, MD
Active Sole ProprietorJASON DAVID TUCKER, MD is a Sports Medicine Podiatrist healthcare provider located in CHARLOTTE, North Carolina. NPI 1689839813 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine Podiatrist · CHARLOTTE, NC
Registration Details
- NPI Number
- 1689839813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2008 (18.092424737391 yrs)
- Last Updated
- Nov 3, 2016
- Licenses
-
0101249850 (VA)01109 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12312 COPPER WAYSUITE 200CHARLOTTE, NC, 282773386Browse NC providers · Browse ZIP 28277
- Phone
- 9808592340
- Fax
- 8448308115
- Primary Specialty
-
Sports Medicine Podiatrist
213ES0000X
- Additional Specialty
- Sports Medicine Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.