Provider Demographics
NPI:1871687541
Name:TUCK, JAMES MURRAY JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MURRAY
Last Name:TUCK
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 MASTERS RD
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35128
Mailing Address - Country:US
Mailing Address - Phone:205-884-1111
Mailing Address - Fax:205-884-1114
Practice Address - Street 1:4010 MASTERS RD
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35128
Practice Address - Country:US
Practice Address - Phone:205-884-1111
Practice Address - Fax:205-884-1114
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000076443Medicaid
AL000076443Medicare ID - Type Unspecified
AL000076443Medicaid