Individual
SUSANNE E TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, ITAT
Contact information
Practice address
3855 PLEASANT HILL RD, STE. 130, DULUTH, GA 30096-1407
(229) 292-0877
Mailing address
3855 PLEASANT HILL RD STE 130, DULUTH, GA 30096-1407
(229) 292-0877
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001036
GA
Other
Enumeration date
07/07/2006
Last updated
01/13/2020
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