Individual provider · Type 1 NPI
Dyas T. Tucker Sr., DC
Chiropractor · Atlanta, GA
NPI number
1164598488
Active
Practice location
3050 Martin Luther King Jr Dr SW Ste J4
Atlanta, GA 30311-1500
Fax (404) 691-8999
Mailing address
3252 Hidden Valley Pointe SW
Marietta, GA 30008-7699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 007074 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1164598488
Dyas T. Tucker Sr., DC's National Provider Identifier is 1164598488, issued on Nov 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.