Individual
DR. ALAN N RUCKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 IVY FALLS DR, SANDY SPRINGS, GA 30328-3658
(404) 255-1005
(404) 255-1184
Mailing address
1005 IVY FALLS DR, SANDY SPRINGS, GA 30328-3658
(404) 255-1005
(404) 255-1184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00442065A
—
GA
Enumeration date
08/11/2005
Last updated
09/01/2016
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