Individual
LARRY C TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1510 LEVERT AVE, ATHENS, AL 35611-3253
(256) 232-3618
Mailing address
1510 LEVERT AVE, ATHENS, AL 35611-3253
(256) 232-3618
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0950
AL
Other
Enumeration date
10/03/2006
Last updated
07/09/2007
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