Individual
ABIGAIL D TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1218 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-3013
(470) 545-6228
Mailing address
2705 MCCLAVE DR, ATLANTA, GA 30340-1934
(770) 936-0728
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1561
GA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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