| George Ruccio | |
|
500 Hickory Hollow Ter Antioch TN 37013-2115 | |
| (615) 390-6127 | |
| Not Available |
| Full Name | George Ruccio |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 Hickory Hollow Ter, Antioch, Tennessee |
| Authorized Official Name and Position | George W Ruccio (OWNER) |
| Authorized Official Contact | 6153906127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Ruccio 3906 Trimble Rd Nashville TN 37215-3104 Ph: (615) 390-6127 | George Ruccio 500 Hickory Hollow Ter Antioch TN 37013-2115 Ph: (615) 390-6127 |
| NPI Number | 1265802094 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265802094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6053 (Tennessee) | Primary |
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