Individual
DR. DOUGLAS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 DOCTORS PARK, STARKVILLE, MS 39759-2174
(662) 615-3751
(662) 615-3754
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23632
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
23632
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02755554
—
MS
01
—
85023-20
LICENSE
WI
Enumeration date
06/29/2012
Last updated
10/23/2025
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