Organization
MILLENNIUM MEDICAL ALPHARETTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIENE W RUTHERFORD MD (MANAGER)
(678) 395-7233
Entity
Organization
Contact information
Practice address
12755 CENTURY DR UNIT A, ALPHARETTA, GA 30009-8377
(678) 395-7233
Mailing address
12755 CENTURY DR UNIT A, ALPHARETTA, GA 30009-8377
(678) 395-7233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/11/2010
Last updated
12/03/2019
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