Individual
RUDIKO RUSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WELLNESS WAY, FORT MILL, SC 29715-7315
(803) 802-3662
Mailing address
711 E MOREHEAD ST APT 1235, CHARLOTTE, NC 28202-3580
(585) 360-9642
(585) 360-9642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91168
SC
Other
Enumeration date
07/30/2021
Last updated
06/23/2024
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