Individual
THOMAS STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3294
Mailing address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3294
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP280533
GA
Other
Enumeration date
10/12/2018
Last updated
12/12/2025
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