Individual
MARY ELIZABETH RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 MCCLELLAN BLVD, ANNISTON, AL 36201-2132
(256) 235-2273
(256) 235-2277
Mailing address
4100 MCCLELLAN BLVD, ANNISTON, AL 36201-2132
(256) 235-2273
(256) 235-2277
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00010525
AL
207Q00000X
Family Medicine Physician
Primary
MD.10525
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000018664
—
AL
01
—
051018664
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
04/08/2006
Last updated
04/03/2019
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