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Individual

DELORES RAE TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APRN, GCNS-BC

Contact information

Practice address
1266 HIGHWAY 515 S, IMS HOSPITALISTS DEE TUCKER, JASPER, GA 30143-4872
(404) 323-8682
Mailing address
1266 HIGHWAY 515 S, IMS HOSPITALISTS DEE TUCKER, JASPER, GA 30143-4872
(404) 323-8682

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN068567
GA
364SG0600X
Gerontology Clinical Nurse Specialist
RN068567
GA

Other

Enumeration date
02/07/2012
Last updated
02/07/2012
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