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Organization
TUCKER FAMILY MEDICINE, PSC
Active
Organization
TUCKER FAMILY MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY FROGGE (OFFICE MANAGER)
(270) 465-0191
Entity
Organization
Contact information
Practice address
105 GREENBRIAR DR, SUITE B, CAMPBELLSVILLE, KY 42718-9617
(270) 465-0191
(270) 465-0463
Mailing address
105 GREENBRIAR DR, SUITE B, CAMPBELLSVILLE, KY 42718-9617
(270) 465-0191
(270) 465-0463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY03404
KY
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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