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Individual

CHRISTIE MARIE TUCKER

Active
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Individual

CHRISTIE MARIE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN196057
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003145051I
—
GA
01
—
GRP3569
OPT-OUT
GA
Enumeration date
03/05/2014
Last updated
11/06/2018
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