Individual
MRS. JILL DENISE ROSSRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 HOSPITAL RD, CANTON, GA 30114-2410
(770) 479-5535
(770) 720-3294
Mailing address
320 HOSPITAL RD, CANTON, GA 30114-2410
(770) 479-5535
(770) 720-3294
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
55441GA
GA
Other
Enumeration date
06/14/2006
Last updated
03/08/2021
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