Gregory Michael Rucker, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Columbus, GA

NPI

1073510905

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

28457 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-07

Last updated

2007-07-08