Individual
TINSLEY W RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2871 ROCKFISH VALLEY HIGHWAY, NELLYSFORD, VA 22958
(434) 297-6000
(434) 297-6550
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258227
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8973827
—
NC
Enumeration date
10/20/2005
Last updated
02/12/2024
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