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Individual

DR. SHARON TUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 QUARTZ DR STE 201, VILLA RICA, GA 30180
(770) 812-3839
(770) 456-3846
Mailing address
119 AMBULANCE DR STE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
(770) 838-8563

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03609
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
03609
GA

Other

Enumeration date
02/08/2006
Last updated
02/13/2019
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