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Individual

HANNAH ROSE RUGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 251-6240
(318) 251-6136
Mailing address
CHILDREN'S HOSPITAL OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400, COLUMBIA, SC 29203
(803) 434-6155
(803) 434-6979

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
331414
LA
208000000X
Pediatrics Physician
LL82702
SC

Other

Enumeration date
06/06/2019
Last updated
07/07/2022
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