Tucker, Connie
Tucker, Connie is an sole proprietor health care provider with primary practice located at 2738 Whites Mill Rd , Decatur GA 30034-2658. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Tucker, Connie can be contacted via phone (404) 781-8224.Contact Information
Primary practice address
2738 Whites Mill Rd
Decatur GA 30034-2658
Phone: (404) 781-8224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1174026892 |
|---|---|
| LBN Legal business name | Tucker, Connie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2018 |
| Last updated | Mar 9th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174026892 | NPPES |
| Georgia | MEDICAID | 257605937A |
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