Individual
BARBARA ELLEN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, MED.
Contact information
Practice address
1000 JOHNSON FERRY RD, BLDG F SUITE 120, MARIETTA, GA 30068-2114
(707) 416-1021
(678) 402-5619
Mailing address
1802 ABBEY CT, ALPHARETTA, GA 30004-6017
(707) 416-1021
(678) 402-5619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
849067
CA
Other
Enumeration date
05/19/2006
Last updated
12/29/2020
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