Individual
CHARLES D RUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1109 N JACKSON ST, ALBANY, GA 31701-2022
(229) 352-4275
(229) 430-0487
Mailing address
1109 N JACKSON ST, ALBANY, GA 31701-2022
(229) 352-4275
(229) 430-0487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030206
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000365153S
—
GA
Enumeration date
06/01/2006
Last updated
07/21/2022
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