BRITTON LIVINGSTON TUCKER (NPI# 1447626676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447626676 |
| Entity Type | Individual |
| Full Name | BRITTON LIVINGSTON TUCKER |
| Credential | PA |
| Practice Address |
2061 Highway 52 Moncks Corner SC 29461-5017 |
| Practice Telephone | 8437618800 |
| Practice Fax Number | 8437618824 |
| Mailing Telephone | 8437618800 |
| Mailing Fax Number | 8437618824 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2358 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2061 HIGHWAY 52 |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962420927 | Berkeley Family Practice LLC | Family Medicine | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2006-07-18 |
| 1598300840 | Debra Anne Mack | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2019-11-11 |
| 1699212019 | Rhiannon Gluhosky | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2017-01-24 |
| 1538611553 | Mary Matthews | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2016-10-25 |
| 1558736199 | Arcis Healthcare | Durable Medical Equipment & Medical Supplies | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-12-08 |
| 1184098485 | Arcis Healthcare, LLC | Orthopaedic Surgery | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-11-24 |
| 1033580980 | Mary Hogan | Physical Therapist | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2015-10-16 |
| 1134524028 | South Carolina Diagnostic Imaging, Inc. | Radiology | 2061 Highway 52, 400, Moncks Corner, SC 29461-5017 | 2014-11-04 |
| 1255733671 | Ashlyn Burns | Physician Assistant | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2014-09-17 |
| 1407165178 | Charleston Brace Company, LLC | Prosthetic/Orthotic Supplier | 2061 Highway 52, Moncks Corner, SC 29461-5017 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992905368 | Kelly J Todd | Physician Assistant | 401 North Live Oak Dr, Moncks Corner, SC 29461 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.