Jonah Lee Ruddy

NPI #1528582780 in Talbott, Tennessee

Provider Information

NPI Number: 1528582780
Entity Type: Individual
Name: Jonah Lee Ruddy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 31, 2017
Last Updated: Jul 31, 2017

Practice Location

Address: 6350 W ANDREW JOHNSON HWY
City: Talbott
State: Tennessee
ZIP Code: 37877-8605
Phone: (423) 587-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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