Individual
MRS. CLAIRE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 JONES MILL RD, STATESBORO, GA 30458-4765
(912) 764-6236
Mailing address
354 RUMPH ST, JESUP, GA 31545-0306
(912) 256-2411
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
9904
GA
Other
Enumeration date
08/17/2020
Last updated
09/30/2022
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