Individual
DR. TRACE HAMILTON RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1330 GREGG ST., COLUMBIA, SC 29201
(803) 254-1911
(803) 254-7120
Mailing address
P.O.BOX 1461, COLUMBIA, SC 29202
(803) 254-1911
(803) 254-7120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3755
SC
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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