Individual
RENWICK EDDIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3540 SUMMER AVENUE, 305, MEMPHIS, TN 38122-3600
(901) 644-5416
(901) 323-2997
Mailing address
6980 LAGRANGE CIRCLE NORTH, CORDOVA, TN 38018
(901) 251-2549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4100973
BCBS
TN
01
—
7762785
AETNA
TN
Enumeration date
03/22/2007
Last updated
07/08/2007
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