THE RUTHERFORD MEDICAL CLINIC LLC, Family RUTHERFORD, TN

Contact Information

THE RUTHERFORD MEDICAL CLINIC LLC

104 E MAIN ST
RUTHERFORD, TN 38369-9711

Phone: 731-665-7741
Fax: 731-665-7750
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for THE RUTHERFORD MEDICAL CLINIC LLC · (Female)

NPI Number	`1972772242`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/20/2008
Last updated	08/05/2019 - About 7 years ago
Sole proprietor ¹	Not specified
Identifiers	TN Medicaid 5442152
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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