Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUCKER KEITH FORBES, ATC
ActiveTUCKER KEITH FORBES, ATC is a Athletic Trainer healthcare provider located in FAYETTEVILLE, Georgia. NPI 1215400734 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1215400734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2019 (7.5915641173047 yrs)
- Last Updated
- Jan 8, 2019
- License
-
AT003037 (GA)
Practice Information
- Address
-
1275 HIGHWAY 54 W STE 200FAYETTEVILLE, GA, 302144538Browse GA providers · Browse ZIP 30214
- Phone
- 7704608609
- Fax
- 7704608629
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| TARA BETH GOCHENOUR | ATC/L | 1891795407 |
| LAURA H TAYLOR | ATC | 1457630659 |
| LATASHA NICOLE TEMPLE | ATC | 1477830180 |
| AMANDA MURPHY | — | 1417314527 |
| JOSHUA RIDIKAS PARKER | — | 1083205801 |
| KOLBIE SCHEETZ | — | 1801571856 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.