Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | LL51243 | SC |
NPI | 1003249962 |
---|---|
Provider Name | Claire Sahlberg Ruggeri |
First Address | Charleston, SC 29425-8908 |
Second Address | Charleston, SC 29425-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2013 |
Last Update Date | 14/06/2017 |