MRS. Wanda Thornton Rucker, MS

NPI #1700243318 in Fayetteville, Georgia

Provider Information

NPI Number: 1700243318
Entity Type: Individual
Name: MRS. Wanda Thornton Rucker, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Credential: MS
Enumeration Date: Jan 27, 2016
Last Updated: Jan 27, 2016

Practice Location

Address: 215 EDMONDSON WAY
City: Fayetteville
State: Georgia
ZIP Code: 30214-7258
Phone: (770) 460-9078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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