Individual provider · Type 1 NPI
Matthew Tucker, OD
Student in an Organized Health Care Education/Training Program · Winston Salem, NC
NPI number
1497567119
Active
Practice location
235 Harvey St
Winston Salem, NC 27103-1741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 other providers at this address
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About NPI 1497567119
Matthew Tucker, OD's National Provider Identifier is 1497567119, issued on Jan 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 21, 2025.