NPI 1285454694

Reggie Tucker

Practitioner Driver Carlisle, SC

Practice location

Address: 3120 Berry Farm Rd, Carlisle, SC 29031-9242
Phone: (803) 477-2564

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 007865475 (SC)

Other Driver providers in South Carolina →

Registry record

NPI: 1285454694
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2024
Record last updated: 11 Oct 2024

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.