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Individual

TAMMY RUDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
175 ENOCH BLVD, SAVANNAH, TN 38372-2240
(731) 925-2300
Mailing address
175 ENOCH BLVD, SAVANNAH, TN 38372-2240
(731) 925-8879
(731) 926-8978

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175901
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30383
TN

Other

Enumeration date
01/26/2015
Last updated
09/25/2025
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