Ruddock, Tonia L
Ruddock, Tonia L is an sole proprietor health care provider with primary practice located at 107 Medical Dr , Dothan AL 36303-6903. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ruddock, Tonia L can be contacted via phone (334) 828-7546.Contact Information
Primary practice address
107 Medical Dr
Dothan AL 36303-6903
Phone: (334) 828-7546
Fax: (334) 828-7547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26056 | Alabama |
Profile Details
| NPI number | 1336134733 |
|---|---|
| LBN Legal business name | Ruddock, Tonia L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jan 25th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336134733 | NPPES |
| Georgia | MEDICAID | 140835009A | |
| Georgia | MEDICAID | 051554856 |
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