Individual
WALTER RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2535 GEORGETOWN RD NW, CLEVELAND, TN 37311-3534
(423) 389-8000
(615) 216-8538
Mailing address
2535 GEORGETOWN RD NW, CLEVELAND, TN 37311-3534
(423) 389-8000
(615) 216-8538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28924
TN
Other
Enumeration date
07/22/2005
Last updated
10/04/2012
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