Individual
DR. MARISOL VEGA DE RUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7950 MARTIN LOOP, MARTIN ARMY COMMUNITY HOSPITAL, FORT BENNING, GA 31905-5647
(706) 544-5097
(706) 544-3950
Mailing address
286 ROSEWOOD DR, FORTSON, GA 31808-6034
(706) 653-9892
(706) 544-3950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34199
KY
Other
Enumeration date
09/29/2006
Last updated
07/09/2007
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