Individual
DR. ETHAN BRANDON RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
110 DUNHILL PL NW, CLEVELAND, TN 37311
(423) 476-2212
Mailing address
110 DUNHILL PL NW, CLEVELAND, TN 37311-3866
(423) 476-2212
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
3169
TN
208M00000X
Hospitalist Physician
34.011041
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2011
Last updated
07/21/2022
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