Irwin Rutherford's National Provider Identifier (NPI) Details
Irwin Rutherford, LPC
NPI: 1801447966
Enumeration Date: 2019-09-20
Last updated: 2019-09-20
Sole Proprietor: YES
Status: active
Postal Address: 109 OSIGIAN BLVD STE 400, WARNER ROBINS, GA
Phone: 229-401-8431
Primary Practice Address: 133 KENTSHIRE LANE, BONAIRE, GA
Practice's phone: 229-401-8431