Individual
KATE COURTNEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
334 SMITH AVE, THOMASVILLE, GA 31792-5533
(229) 227-1595
(229) 227-1385
Mailing address
334 SMITH AVE, THOMASVILLE, GA 31792-5533
(229) 227-1595
(229) 227-1385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006641
GA
Other
Enumeration date
09/28/2012
Last updated
09/25/2018
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