Individual provider · Type 1 NPI

Johnathon Antonio Montrel Tucker, PA

Physician Assistant · Charleston, SC

NPI number 1912767674 Active

Practice location

4 Carriage Ln Ste 200
Charleston, SC 29407-6049

Call (843) 266-7573 Map

Fax (843) 266-7578

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X5259 (SC)
Physician Assistant Primary 363A00000X5259 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912767674

Johnathon Antonio Montrel Tucker, PA's National Provider Identifier is 1912767674, issued on Mar 20, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Mar 20, 2024.