Organization
CONVENTIONAL AND ALTERNATIVE THERAPY HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTEZ A TUCKER MD (OWNER)
(731) 426-5763
Entity
Organization
Contact information
Practice address
1804 E MAIN ST, HUMBOLDT, TN 38343-2922
(731) 426-5763
(731) 784-7856
Mailing address
PO BOX 1798, DPT 07-080, MEMPHIS, TN 38101-1798
(731) 426-5763
(731) 784-7856
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
41806
TN
207R00000X
Internal Medicine Physician
Primary
41806
TN
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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