| NPI | 1144423617 |
|---|---|
| Doing Business As | USADC-RUCKER BROWN |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS PERDUE Ubo Manager 334-255-7244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2015-11-17 |