Individual provider · Type 1 NPI

Mallory Paige Tucker, PA-C

Surgical Physician Assistant · Tallahassee, FL

NPI number 1861751349 Active

Practice location

1401 Centerville Rd Ste G02
Tallahassee, FL 32308-4638

Call (850) 431-2100 Map

Fax (850) 431-2199

Other practice locations

  • 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5373 · (850) 877-2126

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9106576 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1861751349

Mallory Paige Tucker, PA-C's National Provider Identifier is 1861751349, issued on May 3, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tallahassee, FL. The record was last updated on Jun 14, 2022.