Benjamin L. Rucker M.D. P.C.

LBN: Benjamin L. Rucker M.D. P.C.
Benjamin L. Rucker M.D. P.C. is an health care organization with primary practice located at 1138 Druid Park Ave Suite B, Augusta GA 30904-5850. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Benjamin L. Rucker M.D. P.C. can be contacted via phone (706) 733-9447, or through Jackson, Beverly Michele via phone (706) 733-9447.

Contact Information

Primary practice address
1138 Druid Park Ave Suite B Augusta GA 30904-5850
Phone: (706) 733-9447
Fax: (706) 738-0863
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Beverly Michele
Phone: (706) 733-9447

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017877 Georgia

Profile Details

NPI number 1033377882
LBN Legal business name Benjamin L. Rucker M.D. P.C.
DBA Doing business as
Authorized official Jackson, Beverly Michele
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033377882 NPPES
South Carolina MEDICAID G17877
South Carolina Other 010270
South Carolina MEDICAID 000153139-B

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