Individual
KATIE KUBERG TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22136 MEDICAL VILLAGE DRIVE, ATHENS, AL 35613
(256) 648-5598
(833) 603-1295
Mailing address
22136 MEDICAL VILLAGE DRIVE, ATHENS, AL 35613-2940
(256) 648-5598
(833) 603-1295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO.2031
AL
Other
Enumeration date
06/01/2016
Last updated
08/26/2020
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