Individual
MR. SAMUEL MILTON PLUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MEDICAL PARK BLVD, SUITE 3000, BRISTOL, TN 37620-7346
(423) 990-2400
(423) 990-2405
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2093
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD45580
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2007
Last updated
07/22/2021
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