Provider Demographics
NPI:1730605254
Name:RUHLAND, ALICIA M (DNP)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:RUHLAND
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:M
Other - Last Name:GARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:300 W BUTLER RD
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2585
Mailing Address - Country:US
Mailing Address - Phone:864-277-8300
Mailing Address - Fax:864-288-8722
Practice Address - Street 1:300 W BUTLER RD
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2585
Practice Address - Country:US
Practice Address - Phone:864-277-8300
Practice Address - Fax:864-288-8722
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily