Individual
JAMES DANIEL RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5220 PARK AVE, SUITE 100, MEMPHIS, TN 38119-3500
(901) 685-8245
(901) 685-8248
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827
(870) 934-5821
(870) 934-5384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10020
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4076564
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/07/2006
Last updated
12/07/2011
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