Rucker, Wanda Thornton
Rucker, Wanda Thornton is an sole proprietor health care provider with primary practice located at 215 Edmondson Way , Fayetteville GA 30214-7258. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Rucker, Wanda Thornton can be contacted via phone (770) 460-9078.Contact Information
Primary practice address
215 Edmondson Way
Fayetteville GA 30214-7258
Phone: (770) 460-9078
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1700243318 |
|---|---|
| LBN Legal business name | Rucker, Wanda Thornton |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2016 |
| Last updated | Jan 27th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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