Most Relevant Information
Provider Data
| NPI Number: | 1003544016 |
| Provider Name: | DEREK TUCKER DC, CSCS |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 5466 |
Most Important Dates
| Enumeration Date: | 08/09/2022 |
| Last Updated: | 08/09/2022 |
Provider Practice Location
315 EAST ST
ALBEMARLE
NC
280013425
Practice Location Phone/Fax
| Phone: | 7049855472 |
| Fax: |
Provider Mailing Location
PO BOX 774
ALBEMARLE
NC
280020774
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |