Individual
JOHN MICHAEL RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9150 MEDCOM ST, STE B, NORTH CHARLESTON, SC 29406
(843) 572-3330
(843) 572-1255
Mailing address
9150 MEDCOM ST, STE B, NORTH CHARLESTON, SC 29406
(843) 572-3330
(843) 572-1255
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
23325
SC
207RP1001X
Pulmonary Disease Physician
Primary
23325
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
23325
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T74207
—
SC
Enumeration date
07/29/2005
Last updated
10/03/2024
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