Gregory Michael Rucker M.D.

NPI 1073510905 - Internal Medicine - 207R00000X

NPI Details
NPI 1073510905
Gender Male
Enumeration Date 07/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
700 CENTER ST
SUITE 204
COLUMBUS GA, 31901-1546, US
Phone (706) 596-1314
Fax (706) 596-9225
Business Location
700 CENTER ST
SUITE 204
COLUMBUS GA, 31901-1546, US
Phone (706) 596-1314
Fax (706) 596-9225
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 28457
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According to our database, Dr. Gregory Michael Rucker M.D. NPI is 1073510905, taxonomy code is 207R00000X and license number is 28457, license state is located at Georgia. Gregory Michael Rucker M.D. physically located at 700 Center St, Columbus GA, 31901-1546. NPI Number Gregory Michael Rucker M.D. has the Individual type.

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1073510905 NPI number is provided on an as is basis without warranty of any kind. 1073510905 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Michael Rucker M.D. are for informational purposes only.