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Individual

WILLIAM TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6600 NIGHTINGALE LN, KNOXVILLE, TN 37909-2754
(865) 632-5885
(865) 374-2164
Mailing address
6600 NIGHTINGALE LN, KNOXVILLE, TN 37909-2754
(865) 632-5885
(865) 374-2164

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA568
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508714
TN
05
3661653
TN
01
CA7018
RAILROAD MEDICARE
TN
Enumeration date
06/26/2006
Last updated
08/20/2025
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