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Organization

RUTHERFORD PEDIATRICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFRY WILLIAM ARCHER (PRACTICE MANAGER)
(828) 286-9149
Entity
Organization

Contact information

Practice address
141 TRYON ROAD, SUITE A, RUTHERFORDTON, NC 28139-3036
(828) 286-9049
(828) 286-5596
Mailing address
141 TRYON ROAD, SUITE A, RUTHERFORDTON, NC 28139-3036
(828) 286-9049
(828) 286-5596

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39115
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02692
BCBS
NC
05
8902692
NC
Enumeration date
08/31/2006
Last updated
08/22/2020
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