Individual
CRYSTAL TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 BROWN AVE, SUITE A, COLUMBUS, GA 31906-2405
(762) 524-7373
Mailing address
1170 BROWN AVE, SUITE A, COLUMBUS, GA 31906-2405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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