Individual
LESLIE A TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2 WEBSTER ST NW, ROME, GA 30165-2450
(706) 290-0408
(706) 290-0470
Mailing address
2 WEBSTER ST NW, ROME, GA 30165-2450
(706) 290-0408
(706) 290-0470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR004857
GA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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