Individual
DANIELL S RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
202 LIMERICK DR, AIKEN, SC 29803-5980
(803) 645-0647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
250719
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250719
REGISTERED NURSE
SD
Enumeration date
02/10/2020
Last updated
02/10/2020
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