Individual
ALANNAH BERNICE RUDDUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 PLEASANT HOME RD, AUGUSTA, GA 30907-3518
(706) 868-9630
Mailing address
167 OLIVER HARDY CT, HARLEM, GA 30814-4535
(503) 298-7584
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH044044
GA
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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