Individual
DONALD V TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-2201
(931) 454-0492
Mailing address
100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 37388-4754
(931) 454-0489
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
024197
TN
207R00000X
Internal Medicine Physician
Primary
MD024197
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3832134
—
TN
Enumeration date
06/08/2006
Last updated
03/20/2013
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