Dr Pamela Tuck LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

00023723 Issued in AL

Legal business name

DR PAMELA TUCK LLC

Practice address

300 Taylor Rd
Suite 600
Montgomery, AL 36117-3521

Phone

(334) 396-7865

Fax

(334) 396-7868

NPI assigned

Aug 25, 2006

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pamela P Tuck, MD

Title

Owner

Phone

(334) 396-7865

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1558479162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TAYLOR RD",
            "address_2": "SUITE 600",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173521",
            "telephone_number": "334-396-7865",
            "fax_number": "334-396-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAYLOR RD",
            "address_2": "SUITE 600",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173521",
            "telephone_number": "334-396-7865",
            "fax_number": "334-396-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAMELA TUCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "TUCK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-396-7865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00023723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K806",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Montgomery, AL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.