Individual
JOSHUA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 GLEN ACRES CT, DECATUR, GA 30035-1619
(404) 971-3664
Mailing address
162 GLEN ACRES CT, DECATUR, GA 30035-1619
(404) 971-3664
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
DL051334666
GA
347C00000X
Private Vehicle
Primary
DL051334666
GA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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