Individual
ROSEBUD H TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9465 HWY 5, DOUGLASVILLE, GA 30135
(713) 935-0333
Mailing address
6951 BABBLING BROOK DR, REX, GA 30273-2431
(770) 961-5198
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN16109
GA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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