Susan Anne Mills Tucker, RD LD CDE | |
719 Okatie Hwy # 170, Okatie, SC 29909-3963 | |
(843) 987-7400 | |
(843) 987-7498 |
Full Name | Susan Anne Mills Tucker |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 719 Okatie Hwy # 170, Okatie, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366723199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 470 (South Carolina) | Primary |
Provider Name | Beaufort Jasper Hampton Comprehensive Health Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262 |
Mailing Address | Practice Location Address |
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Susan Anne Mills Tucker, RD LD CDE 721 N Okatie Hwy # 170, Ridgeland, SC 29936-8276 Ph: (843) 987-7400 | Susan Anne Mills Tucker, RD LD CDE 719 Okatie Hwy # 170, Okatie, SC 29909-3963 Ph: (843) 987-7400 |
Debra Williams, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 721 Okatie Hwy # 170, Okatie, SC 29909 Phone: 843-987-7400 | |
Lauren Ashley Zidek, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 122 Okatie Center Blvd, Okatie, SC 29909 Phone: 843-706-8660 | |
Mrs. Valerie Linette Muehleman, MS,RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 719 Okatie Hwy # Hwy170, Okatie, SC 29909 Phone: 843-987-7415 Fax: 843-987-7550 |