Individual
DR. CRYSTAL TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 PEACHTREE CENTER AVE NE STE 600, ATLANTA, GA 30303-1277
(844) 216-8997
Mailing address
487 CHANTERELLE DR, STONE MOUNTAIN, GA 30087-5005
(770) 413-6512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018924
GU
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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