Individual
ANGELIQUE PAULEEN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3328 JENKINS RD STE 200, CHATTANOOGA, TN 37421-1298
(423) 825-4040
(816) 373-9222
Mailing address
3328 JENKINS RD STE 200, CHATTANOOGA, TN 37421-1298
(423) 825-4040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0399R
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
01/02/2025
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