Jay Hanson Wruck , COMA, CPP
Technician/Technologist • Kennesaw, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jay Wruck has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jay Wruck, COMA, CPP was a registered Technician/Technologist practicing in Kennesaw, GA. Throughout an active medical career spanning 14 years, Jay Wruck provided care at the practice location at 4318 EDGEWATER DR NW until profile deactivation on 2024-03-13.
Practice Location & Contact Primary Location
4318 Edgewater Dr Nw
Kennesaw, GA 301445170
Specialty Benchmarks & Practice Insights
Comparative analytics for Technician/Technologist in Kennesaw, GA
Practicing in Kennesaw, GA (72 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 156F00000X
A broad category grouping different kinds of technologists and technicians. See individual definitions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 13, 2024
NPI status registered as active in NPPES database
Registered at 4318 EDGEWATER DR NW, KENNESAW, GA 301445170 (Tel: 7705921580)
Registered at 4318 EDGEWATER DR NW, KENNESAW, GA 301445170 (Tel: 7705921580)
Recorded as JAY WRUCK, C.O.M.A./C.P.P.
Technician/Technologist (License #2010#65900 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4318 Edgewater Dr Nw
Kennesaw, GA 301445170
Phone: 7705921580
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