TUCKER KEITH FORBES

FAYETTEVILLE, GA
NPI1215400734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT003037)
Enumeration Date2019-01-08
Last Update Date2019-01-08
Business Address
TUCKER KEITH FORBES ATC
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214-4538
Phone number: 770-460-8609
Mailing Address
TUCKER KEITH FORBES ATC
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-4915
Phone number: 423-238-7217
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