Individual
SHELLY RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4517 JESSUP GROVE RD, GREENSBORO, NC 27410-9407
(336) 664-1052
Mailing address
4517 JESSUP GROVE RD, GREENSBORO, NC 27410-9407
(336) 664-1052
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
LAT-2953
NC
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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