Individual
SARAH RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 BARBERRIE LN, DECATUR, GA 30032-3916
(678) 427-1905
Mailing address
1959 BARBERRIE LN, DECATUR, GA 30032-3916
(678) 427-1905
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN045449
GA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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