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1255435525
BENJAMIN LAVAR RUCKER
AUGUSTA, GA
NPI
1255435525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 017877)
Enumeration Date
2006-09-08
Last Update Date
2011-08-05
Business Address
Mr. BENJAMIN LAVAR RUCKER MD
1448 LEE BEARD WAY
AUGUSTA, GA 30901-3414
Phone number: 706-828-7468
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Mailing Address
Mr. BENJAMIN LAVAR RUCKER MD
1448 LEE BEARD WAY
AUGUSTA, GA 30901-3414
Phone number: 706-828-7468
Copy
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