Individual
CHRISTIE MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
699 CHURCH ST NE STE 300, MARIETTA, GA 30060-1122
(770) 422-8700
(770) 425-7601
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
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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