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Individual

TREVIS RUTLEDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7340 PARKLANE RD, 204 G, COLUMBIA, SC 29223-7644
(803) 419-8486
(803) 419-6361
Mailing address
PO BOX 291203, COLUMBIA, SC 29229-0021
(803) 419-8486
(803) 419-6361

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
10/30/2013
Last updated
10/30/2013
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