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NPI Code Detail

MEDICARE: RUTH WANSLEY

MEDICARE:   RUTH  WANSLEY
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
1104100000XSocial WorkerM9255MS

General Provider Information

NPI Number : 1942906029
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH WANSLEY
Provider Business Mailing Address
First Line : 1093 CLEVELAND AVE
Second Line :
City : EAST POINT
State : GA
Zip : 30344-6740
Country : US
Telephone Number : 404-490-0750
Fax Number :
Provider Business Practice Location Address
First Line : 1093 CLEVELAND AVE
Second Line :
City : EAST POINT
State : GA
Zip : 30344-6740
Country : US
Telephone Number : 404-490-0750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 02/01/2023

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Directions to “ RUTH WANSLEY ” Practice Location

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