Dr. Lynn Moore Tucker, M.D.
Surgery in West Columbia, SC. Individual provider (NPI-1).
NPI number1528066909
StatusActive
Last updated in NPPESFeb 20, 2013
Details
- NPI
- 1528066909
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lynn Moore Tucker
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2005
- Last updated
- Feb 20, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 041695 | GA | Yes |
Practice location
2728 Sunset BlvdSuite 104
West Columbia, SC 29169-4840
Phone 803-939-2722 · Fax 803-939-2723
Mailing address
2728 Sunset BlvdSuite 104
West Columbia, SC 29169-4840
Phone 803-939-2722 · Fax 803-939-2723
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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