Individual
DR. ELLEN RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 A WOODLAND DRIVE, LANCASTER, SC 29720
(803) 286-7746
(803) 286-7748
Mailing address
P.O. BOX 203, LANCASTER, SC 29721
(803) 286-7746
(803) 286-7748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2792
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2792
—
SC
Enumeration date
11/29/2006
Last updated
01/05/2011
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