Organization
LAWRENCE E RUF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE E RUF MD (OWNER)
(912) 988-1781
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD STE 501, POOLER, GA 31322-4061
(912) 988-1781
(912) 777-7591
Mailing address
1000 TOWNE CENTER BLVD STE 501, POOLER, GA 31322-4061
(912) 988-1781
(912) 777-7591
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000200329E
—
GA
Enumeration date
06/17/2019
Last updated
06/17/2019
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