| Donald Tucker Pllc | |
|
100 William Northern Blvd Tullahoma TN 37388-4754 | |
| (931) 454-0489 | |
| (931) 454-2348 |
| Full Name | Donald Tucker Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 William Northern Blvd, Tullahoma, Tennessee |
| Authorized Official Name and Position | Donald V Tucker (MEDICAL DOCTOR) |
| Authorized Official Contact | 9314540489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Tucker Pllc 100 William Northern Blvd Tullahoma TN 37388 Ph: (931) 454-0489 | Donald Tucker Pllc 100 William Northern Blvd Tullahoma TN 37388-4754 Ph: (931) 454-0489 |
| NPI Number | 1154596120 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154596120 | NPI | - | NPPES |
| 1505159 | Medicaid | TN | |
| 4185013 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD024197 (Tennessee) | Primary |
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