Donald Tucker Pllc

NPI #1154596120 in Tullahoma, Tennessee

Provider Information

NPI Number: 1154596120
Entity Type: Organization
Organization Name: Donald Tucker Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Apr 29, 2008
Last Updated: Aug 22, 2008

Practice Location

Address: 100 WILLIAM NORTHERN BLVD
City: Tullahoma
State: Tennessee
ZIP Code: 37388-4754
Phone: (931) 454-0489

Authorized Official

Name: DONALD V TUCKER JR., MD
Title: MEDICAL DOCTOR
Phone: (931) 454-0489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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