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NPI Code Detail

MEDICARE: RUTHERFORD INTERNAL MEDICINE ASSOCIATES PA

MEDICARE: RUTHERFORD INTERNAL MEDICINE ASSOCIATES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
2207RG0100XGastroenterology Physician
3207RH0003XHematology & Oncology Physician
4207RP1001XPulmonary Disease Physician
52084N0400XNeurology Physician
6207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20279GOTHERNCNC BC/BS

General Provider Information

NPI Number : 1437191210
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUTHERFORD INTERNAL MEDICINE ASSOCIATES PA
Provider Business Mailing Address
First Line : PO BOX 1560
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-1560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 181 DANIEL RD
Second Line :
City : FOREST CITY
State : NC
Zip : 28043-7151
Country : US
Telephone Number : 828-286-9036
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : SHERRY MYERS
Credential :
Telephone Number : 828-288-6333
Provider Enumeration Date : 06/13/2006
Last Update Date : 03/06/2009

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