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Individual

WILLIAM L RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 GLENDALE DR W, WILSON, NC 27893-2770
(252) 399-7557
(252) 399-1324
Mailing address
4433 NORRIS STORE RD, AYDEN, NC 28513-8725
(252) 746-3884

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26867
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8973822
NC
Enumeration date
09/22/2005
Last updated
07/30/2024
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