Individual
PHYLLIS EDITH RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, MEDICAL SPECIALTY CARE SERVICE LINE, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, MEDICAL SPECIALTY CARE SERVICE LINE, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044831
GA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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