Individual
GREGORY RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905-5650
(518) 860-8768
Mailing address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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