Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHON ANTONIO MONTREL TUCKER, PA
Active Sole ProprietorJOHNATHON ANTONIO MONTREL TUCKER, PA is a Physician Assistant healthcare provider located in CHARLESTON, South Carolina. NPI 1912767674 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHARLESTON, SC
Registration Details
- NPI Number
- 1912767674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2024 (2.3953638726634 yrs)
- Last Updated
- Mar 20, 2024
- Licenses
-
5259 (SC)5259 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 CARRIAGE LN STE 200CHARLESTON, SC, 294076049Browse SC providers · Browse ZIP 29407
- Phone
- 8432667573
- Fax
- 8432667578
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| MS. BETH ALLISON GRIFFIN | PA-C | 1356346688 |
| MS. JULIE H NEVILLE | PA | 1609875483 |
| MRS. RENEE L. LARSEN | P.A. | 1740289511 |
| MRS. VICKI E ALLEN | PA C | 1811987407 |
| MICHAEL D OVERCASH | PA | 1376520171 |
| KARA COMPTON | PA-C | 1609840206 |
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.