Individual
MR. WILLIAM SAMUEL RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1175 DARTMORE CT, EVANS, GA 30809-5227
(706) 868-6282
Mailing address
1175 DARTMORE CT, EVANS, GA 30809-5227
(706) 868-6282
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002212
GA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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