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Stina Jennifer Ruddell, PA
Medical Physician Assistant in Cairo, Georgia
NPI 1770876302

Stina Jennifer Ruddell is a Medical Physician Assistant based in Thomasville, GA and is specialized in Medical. Stina Jennifer Ruddell practices in Cairo, GA and has the professional credentials of PA. The NPI Number for Stina Jennifer Ruddell is 1770876302 and holds a License No. 006097 (Georgia).

The current practice location address for Stina Jennifer Ruddell is 1090 5Th St Se, Cairo, GA and can be reached out via phone at 229-377-1100.

Location: 1090 5Th St Se, Cairo, GA, 31792-4255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770876302
Provider Name
Stina Jennifer Ruddell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1090 5Th St Se, Cairo, GA, 31792-4255
Phone Number
229-377-1100
Fax Number
Provider Enumeration Date
05/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1090 5Th St Se
City
Cairo
State
Georgia
Zip
39828-3139
Phone Number
229-377-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1090 5Th St Se
City
Cairo
State
Georgia
Zip
39828-3139
Phone Number
229-377-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
006097 (Georgia)
Definition
Definition to come...
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