Trace H Rutherford (NPI# 1841366143, PAC ID# 2062660053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1841366143 |
| PAC ID by PECOS | 2062660053 |
| Professional Enrollment ID | I20120917000693 |
| Full Name | Trace H Rutherford |
| Organization Legal Name | PALMETTO SURGICAL CONSULTANTS ASSOCIATION,INC. |
| Address |
1330 Gregg St Columbia SC 29201-3526 |
| Phone Number | 8032564304 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF DENTISTRY |
| Graduation Year | 1999 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 6507014586 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1330 Gregg St, Columbia, SC 29201-3526 | 8032564304 | PALMETTO SURGICAL CONSULTANTS ASSOCIATION,INC. |
| Organization Legal Name | PALMETTO SURGICAL CONSULTANTS ASSOCIATION,INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracie S Furgess | Oral Surgery | Palmetto Surgical Consultants Association,inc. | 1330 Gregg St, Columbia, SC 29201-3526 |
| Street Address |
1330 GREGG ST |
| City | COLUMBIA |
| State | SC |
| Zip | 29201-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracie S Furgess | Oral Surgery | Palmetto Surgical Consultants Association,inc. | 1330 Gregg St, Columbia, SC 29201-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Burguieres | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Aleta Marie Mcgough | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Elizabeth L Baker | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Katelin J Williamson | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Emily Jones Cullen | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Lisa A Cometto | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Dale Eugene Marko | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Eric Karl Winter | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Amy Eileen Jones | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Sarah S Kuhn | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Find all physicians in zip 29201 | |||
| City | COLUMBIA |
| Zip Code | 29201 |
| Specialty | ORAL SURGERY |
| City + Specialty | COLUMBIA + ORAL SURGERY |
Please comment or provide details below to improve the information on Trace H Rutherford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.