Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Kimberly Moore Rucker, MD

Individual provider Pediatrics Physician · NPI 1104967306

Susan Kimberly Moore Rucker, MD is a Pediatrics Physician in Athens, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 Decatur Pike
Athens, TN 37303-2514
Phone: (423) 745-2500
Fax: (423) 745-2571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD28936 (TN)

Record details

NPI number1104967306
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 8, 2007

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