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Individual

CHRISTOPHER D RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1330 BOILING SPRINGS RD, SUITE 1400, SPARTANBURG, SC 29303-4201
(864) 582-2900
(864) 582-4991
Mailing address
1330 BOILING SPRINGS RD, SUITE 1400, SPARTANBURG, SC 29303-4201
(864) 582-2900
(864) 582-4991

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
51468
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T51468
SC
Enumeration date
04/20/2006
Last updated
10/09/2007
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