Individual
DR. CHALBOURNE RUTLEDGE BRASINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
133 BENNETT ST, GREENVILLE, SC 29601-1605
(864) 412-1007
(864) 412-1009
Mailing address
133 BENNETT ST, GREENVILLE, SC 29601-1605
(864) 412-1007
(864) 412-1009
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3766
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3766
—
SC
Enumeration date
01/11/2007
Last updated
08/16/2013
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