| Doctor Name: | JOHN WILLIAM TUCKER |
| NPI Number: | 1669453882 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 102348 |
| Business Practice Address: | 241 Church St Hayesville, NC - 289049688 |
| Business Phone Number: | 8283896383 |
| Business Fax Number: | 8283892322 |
| Mailing Address: | Po Box 1309, HAYESVILLE |
| State: | NC |
| Postal Code: | 289041309 |
| Phone Number: | 8283896383 |
| Fax Number: | 8283892322 |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 05/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 102348 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |