Rutledge Medical Clinic Incorporated

NPI #1912191149 in Rutledge, Tennessee

Provider Information

NPI Number: 1912191149
Entity Type: Organization
Organization Name: Rutledge Medical Clinic Incorporated
Primary Specialty: Internal Medicine
Enumeration Date: Aug 30, 2007
Last Updated: Jan 17, 2008

Practice Location

Address: 8048 RUTLEDGE PIKE
City: Rutledge
State: Tennessee
ZIP Code: 37861
Phone: (865) 828-5243

Authorized Official

Name: DR. MARK E. HOLLAND, M.D.
Title: PRESIDENT
Phone: (865) 828-5243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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