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Individual

DONALD RUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
93 TREE LN, HARTWELL, GA 30643-9231
(706) 376-3686
Mailing address
93 TREE LN, HARTWELL, GA 30643-9231
(706) 376-3686

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3192
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN126254
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283726614A
GA
05
283726614B
GA
Enumeration date
11/14/2005
Last updated
03/04/2013
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