Donald Tucker Pllc in Tullahoma - Internal Medicine

Donald Tucker Pllc - NPI 1154596120

Donald Tucker Pllc is a Internal Medicine in Tullahoma, Tennessee. Donald Tucker Pllc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Donald Tucker Pllc is 1154596120. The last update date is 2008-08-22.

Donald Tucker Pllc's current location address is 100 William Northern Blvd, Tullahoma, Tennessee. You can contact this provider via phone number 9314540489 and fax number 9314542348. The mailing address for Donald Tucker Pllc is 100 William Northern Blvd, Tullahoma, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Donald Tucker Pllc
Address 100 William Northern Blvd, Tullahoma, Tennessee
Phone Number 9314540489
Fax Number 9314542348
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Tucker V Donald
Credentials MD
Telephone Number 9314540489

NPI Number Detail

NPI Number 1154596120
Provider Enumeration Date 2008-04-29
Last Updated Date 2008-08-22

Provider Mailing Address Detail

Address 100 William Northern Blvd
City Tullahoma
State Tennessee (TN)
Post Code 37388
Phone Number 9314540489
Fax Number 9314542348

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD024197
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1505159 TN --
4185013 TN BCBS

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FAQs about Donald Tucker Pllc

What is the Donald Tucker Pllc's 1154596120?

The Donald Tucker Pllc's NPI (National Provider Identifier) Number is 1154596120. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Donald Tucker Pllc's facilities are situated?

The facilities of Donald Tucker Pllc are physically located at the following address: 100 William Northern Blvd, Tullahoma, TN, 37388.

What is Donald Tucker Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Donald Tucker Pllc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154596120 to Donald Tucker Pllc?

The Donald Tucker Pllc received its 1154596120 assignment from the Centers for Medicare & Medicaid Services on 2008-04-29.

As of what date were the Donald Tucker Pllc's details last updated?

The information pertaining to the Donald Tucker Pllc, including its address, specialty, and other details, was most recently updated on 2008-08-22.

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