Individual
MARY BETH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-7921
Mailing address
2932 BRIDLE CREEK DR SW, CONYERS, GA 30094-5696
(678) 283-1783
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
RN 085819
GA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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