Holly A Tucker (NPI# 1396014619, PAC ID# 8527235175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1396014619 |
| PAC ID by PECOS | 8527235175 |
| Professional Enrollment ID | I20120123000136 |
| Full Name | Holly A Tucker |
| Organization Legal Name | ACTIVE FAMILY AND SPORTS CHIROPRACTIC PLLC |
| Address |
1260 Gallaher Rd Suite B and C Kingston TN 37763-4139 |
| Phone Number | 8652488167 |
| Gender | F |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0042483927 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1260 Gallaher Rd, Suite B and C, Kingston, TN 37763-4139 | 8652488167 | ACTIVE FAMILY AND SPORTS CHIROPRACTIC PLLC |
| 1260 Gallaher Rd, Kingston, TN 37763-4139 | 8652488167 | ACTIVE FAMILY AND SPORTS CHIROPRACTIC PLLC |
| Organization Legal Name | ACTIVE FAMILY AND SPORTS CHIROPRACTIC PLLC |
| Physicians | 1 |
| Street Address |
1260 GALLAHER RD SUITE B AND C |
| City | KINGSTON |
| State | TN |
| Zip | 37763-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Mulhall | Chiropractic | Crawford Chiropractic | 1260 Gallaher Rd, Suite B, Kingston, TN 37763-4139 |
| Jude Aaron Miller | Chiropractic | 1260 Gallaher Rd, Suite B and C, Kingston, TN 37763-4139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farzana S Iqbal | Internal Medicine | 820 W Race St, Kingston, TN 37763-2120 | |
| Beverly K Glasure | Physician Assistant | Kingston Family Practice, P.C. | 820 W Race St, Kingston, TN 37763-2120 |
| Dwight H Willett | Family Medicine | Kingston Family Practice, P.C. | 820 W Race St, Kingston, TN 37763-2120 |
| Wanda Jean Price | Nurse Practitioner | Exac Care LLC | 930 W Race St, Kingston, TN 37763-2122 |
| Adam J Hill | Nurse Practitioner | Exac Care LLC | 930 W Race St, Kingston, TN 37763-2122 |
| Amanda S Ferguson | Nurse Practitioner | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Buffy D Snow | Nurse Practitioner | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Bhavana Vora | Family Medicine | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Megan H Chapman | Physician Assistant | Summit Medical Group, Pllc | 933 W Race St, Kingston, TN 37763-2123 |
| Stephanie A. Estes | Chiropractic | Estes Family Chiropractic and Wellness Clinic | 1190 N Kentucky St, Kingston, TN 37763-2350 |
| Find all physicians in zip 37763 | |||
| City | KINGSTON |
| Zip Code | 37763 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KINGSTON + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.