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Individual

CRAIG D RUTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1348
Mailing address
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203-2131
(615) 284-1400
(615) 284-1348

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22083
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110146162
RR MEDICARE
TN
01
3031511
BLUE CROSS BLUE SHIELD
TN
05
3077425
TN
01
5252119
AETNA
TN
Enumeration date
06/19/2006
Last updated
10/20/2014
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