IndividualActive
Brianica Tucker
NPI 1932906476 · Clinical Medical Laboratory · Sparta, GA
Provider details
- NPI number
- 1932906476
- Entity type
- Individual
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Laboratories
Practice location
288 Dyer Dr
Sparta, GA 31087-1618
Phone: (770) 714-1182
Approximate (ZIP-level) locationGet directions
Mailing address
288 Dyer Dr
Sparta, GA 31087-1618
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-03-03
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.