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

MRS. WANDA THORNTON RUCKER, MS

Active Sole Proprietor

MRS. WANDA THORNTON RUCKER, MS is a Case Manager healthcare provider located in FAYETTEVILLE, Georgia. NPI 1700243318 is currently active in the NPPES registry. Verify at CMS.

Case Manager · FAYETTEVILLE, GA

Registration Details

NPI Number
1700243318
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2016 (10.592078976646 yrs)
Last Updated
Jan 27, 2016
Sole Proprietor
Yes

Practice Information

Address
215 EDMONDSON WAY
FAYETTEVILLE, GA, 302147258
Browse GA providers · Browse ZIP 30214
Phone
7704609078
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in FAYETTEVILLE, GA

Name Credential NPI
MRS. K. BRYANT 1649608241
MILLICENT CONE 1801254099
SCHARMANE PORTER 1679131726
LAKISHA WILLIAMS 1194385211
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.