Individual
DARLENE THEA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6319 WILLOWBROOK DR, RIVERDALE, GA 30296-2941
(404) 971-3664
(470) 878-1378
Mailing address
222 HUMMINGBIRD CT, HAMPTON, GA 30228-6026
(678) 414-1101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN163239
GA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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