Individual
MRS. MAGGIE C TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 GENTILLY BLVD STE 1300, CARTERSVILLE, GA 30120-8504
(470) 490-6860
Mailing address
42 FALCON CV, DALLAS, GA 30132-6622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299681
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP299681
GA
Other
Enumeration date
09/07/2023
Last updated
12/02/2025
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