Rutledge, Charles David

Rutledge, Charles David is an individual health care provider with primary practice located at 4711 Centerline Dr Suite 100, Knoxville TN 37917-1403. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rutledge, Charles David can be contacted via phone (865) 545-8700.

Contact Information

Primary practice address
4711 Centerline Dr Suite 100 Knoxville TN 37917-1403
Fax: (865) 545-8704
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD18985 Tennessee

Profile Details

NPI number 1487623971
LBN Legal business name Rutledge, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 30th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487623971 NPPES
Tennessee MEDICAID 18985

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