IndividualActive
Jason Tucker, MD
NPI 1689839813 · Sports Medicine Podiatrist · Charlotte, NC
Provider details
- NPI number
- 1689839813
- Entity type
- Individual
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101249850 (VA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Allopathic & Osteopathic Physicians
Practice location
12312 Copper Way
Suite 200
Charlotte, NC 28277-3386
Phone: (980) 859-2340
Fax: (844) 830-8115
Approximate (ZIP-level) locationGet directions
Mailing address
12312 Copper Way
Charlotte, NC 28277-3386
Registry dates
- Enumerated
- 2008-07-28
- Last updated
- 2016-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.