| NPI | 1154596120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD V TUCKER Medical Doctor 931-454-0489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD024197) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-08-22 |