Individual
MRS. SHEILA M TUCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
523 ANDREWS DR, HAMPTON, GA 30228-3424
(770) 471-3381
Mailing address
523 ANDREWS DR, HAMPTON, GA 30228-3424
(770) 471-3381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN062738
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN062738
STATE OF GA LPN LICENSE
GA
Enumeration date
05/04/2006
Last updated
07/08/2007
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