NPI 1063415362

Scott L Tucker, MD

Practitioner Plastic Surgery Physician Winston-Salem, NC

Practice location

Address: 1345a Westgate Center Dr, Winston-Salem, NC 27103-2934
Phone: (336) 768-8483
Fax: (336) 768-1195
Mailing address: 1345 Westgate Center Dr STE a, Winston Salem, NC 27103-3041

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 200001832740 (NC)

Other Plastic Surgery providers in North Carolina →

Registry record

NPI: 1063415362
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2005
Record last updated: 22 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.