Individual
WHITNEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2529 TERRACE TRL, DECATUR, GA 30035-3514
(678) 619-4361
Mailing address
2529 TERRACE TRL, DECATUR, GA 30035-3514
(678) 619-4361
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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