Individual
DR. RANDALL JOSEPH RUARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 324-6661
(706) 494-3201
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
054505
GA
207X00000X
Orthopaedic Surgery Physician
MD.33867
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173852
—
AL
05
—
362979737V
—
GA
Enumeration date
04/03/2007
Last updated
11/20/2020
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