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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUTH FUQUA, LAT, ATC

Active Sole Proprietor

RUTH FUQUA, LAT, ATC is a Sports Medicine (PM&R) healthcare provider located in CHAPEL HILL, North Carolina. NPI 1497142566 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · CHAPEL HILL, NC

Registration Details

NPI Number
1497142566
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2015 (11.371087343337 yrs)
Last Updated
Apr 16, 2015
License
LAT-2513 (NC)
Sole Proprietor
Yes

Practice Information

Address
140 W FRANKLIN ST
APT 613
CHAPEL HILL, NC, 275162536
Browse NC providers · Browse ZIP 27516
Phone
4047884736
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.