Organization
DR. TIMOTHY M RUFF, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MARK RUFF MD (OWNER)
(615) 776-1383
Entity
Organization
Contact information
Practice address
1276 BRIDGETON PARK DR, BRENTWOOD, TN 37027-8340
(615) 776-1383
Mailing address
1276 BRIDGETON PARK DR, BRENTWOOD, TN 37027-8340
(615) 776-1383
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
37562
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135860
FIRST HEALTH
—
01
—
236232
CIGNA
—
01
—
291876
GREAT WEST LIFE & ANNUITY
—
01
—
4065623
BLUE CROSS BLUE SHIELD-TN
—
05
—
4065623
—
TN
01
—
7086510
AETNA
—
01
—
H95029
HEALTHSPRINGS
—
Enumeration date
02/15/2008
Last updated
04/20/2008
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