Individual
DR. BETH MILLER RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 FILLINGIM ST, MASTIN 617, MOBILE, AL 36617-2238
(251) 471-7790
(251) 471-7715
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26417
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913240
—
AL
05
—
01200018
—
MS
05
—
100552
—
AL
05
—
100553
—
AL
05
—
100555
—
AL
01
—
51545686
BCBS-2451 FILLINGIM ST
AL
01
—
51545953
BC BS
AL
01
—
51545954
BC BS
AL
01
—
51545955
BC BS
AL
Enumeration date
09/28/2006
Last updated
09/02/2008
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