Individual
SUSAN KIMBERLY MOORE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 DECATUR PIKE, ATHENS, TN 37303-2514
(423) 745-2500
(423) 745-2571
Mailing address
PO BOX 294, ATHENS, TN 37371-0294
(423) 745-2500
(423) 745-2571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD28936
TN
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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