Healthcare Provider Details

I. General information

NPI: 1194833855
Provider Name (Legal Business Name): RUTHERFORD ANESTHESIOLOGY ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 S. RIDGECREST AVENUE
RUTHERFORDTON NC
28139
US

IV. Provider business mailing address

P.O. BOX 3864
AUGUSTA GA
30914-3864
US

V. Phone/Fax

Practice location:
  • Phone: 828-286-5420
  • Fax: 706-731-5289
Mailing address:
  • Phone: 706-737-4575
  • Fax: 706-731-5289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES L KIRKPATRICK III
Title or Position: MD / PARTNER
Credential: MD
Phone: 706-737-4575