DR. CHERYL ANN RUTHERFORD-NGOTO NPI 1033422605

NPI Information

NPI: 1033422605
Provider Name: DR. CHERYL ANN RUTHERFORD-NGOTO
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
6702 TREEHILLS PKWY
STONE MOUNTAIN, GA
ZIP 30088
Phone: (404) 914-1777
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DR. Cheryl Ann Rutherford-ngoto is a specialist in Stone Mountain, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Cheryl Ann Rutherford-ngoto NPI is 1033422605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6702 TREEHILLS PKWY
STONE MOUNTAIN, GA
ZIP 30088-605
Phone: (404) 914-1777

The enumeration date for this NPI number is 7/23/2010 and was last updated on 12/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		107031	GEORGIA	No
2	174400000X	Specialist		107031	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107031	OTHER	GEORGIA	GEORGIA PROFESSIONAL CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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