NPI 1881329225
Juan L Tucker, CCP
Practice location
- Address
- 6051 U S Highway 49, Hattiesburg, MS 39401-7200
- Phone
- (601) 288-4243
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1881329225
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Jul 2022
- Record last updated
- 20 Jul 2022
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.