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NPI Code Detail

MEDICARE: DR. BRIAN JON RUGGIERO D.C.

MEDICARE:  DR. BRIAN JON RUGGIERO  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation Chiropractor005583GA

General Provider Information

NPI Number : 1619053576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN JON RUGGIERO D.C.
Provider Business Mailing Address
First Line : 233 ATLANTA RD
Second Line :
City : CUMMING
State : GA
Zip : 30040-2609
Country : US
Telephone Number : 770-888-4600
Fax Number : 770-888-4601
Provider Business Practice Location Address
First Line : 233 ATLANTA RD
Second Line :
City : CUMMING
State : GA
Zip : 30040-2609
Country : US
Telephone Number : 770-888-4600
Fax Number : 770-888-4601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BRIAN JON RUGGIERO D.C.” Practice Location

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