NPI 1043071814

Thomas Lamont Ruffin

Practitioner Other Technician Augusta, GA

Practice location

Address: 4505 Lakeland CT, Augusta, GA 30906-9215
Phone: (706) 204-9112
Mailing address: 12428 Mays Quarter Rd, Woodbridge, VA 22192-5461

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Georgia →

Registry record

NPI: 1043071814
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2024
Record last updated: 19 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.