Individual
DR. JODIE MARIE LASSETER TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 W OGLETHORPE HWY, HINESVILLE, GA 31313-3615
(912) 876-8125
(912) 876-4387
Mailing address
516 GREENWICH ST, RICHMOND HILL, GA 31324
(912) 756-8489
(912) 876-4387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020867
GA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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