Individual
TIFFANY J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
668 LANIER PARK DR, GAINESVILLE, GA 30501-2061
(770) 531-1515
(770) 531-1930
Mailing address
668 LANIER PARK DR, GAINESVILLE, GA 30501-2061
(770) 531-1515
(770) 531-1930
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN140294
GA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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