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NPI Code Detail

MEDICARE: HARRY M RUTLAND MD

MEDICARE: HARRY M RUTLAND MD
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
1208800000XUrology Physician053943GA

General Provider Information

NPI Number : 1528163748
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY M RUTLAND MD
Provider Business Mailing Address
First Line : 1930 BRANNAN RD
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-4310
Country : US
Telephone Number : 678-284-4040
Fax Number : 678-284-4076
Provider Business Practice Location Address
First Line : 1357 HEMBREE ROAD
Second Line : SUITE 250
City : ROSWELL
State : GA
Zip : 30076-5724
Country : US
Telephone Number : 770-475-7550
Fax Number : 770-343-9080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/13/2020

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