Provider Demographics
NPI:1174783708
Name:RUTLEDGE, CHRYSTAL LASHAWN (MD)
Entity type:Individual
Prefix:
First Name:CHRYSTAL
Middle Name:LASHAWN
Last Name:RUTLEDGE
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Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1600 7TH AVE S
Mailing Address - Street 2:CPPI SUITE 102
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1711
Mailing Address - Country:US
Mailing Address - Phone:205-638-9296
Mailing Address - Fax:205-975-6505
Practice Address - Street 1:1600 7TH AVE S
Practice Address - Street 2:CPPI SUITE 102
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1711
Practice Address - Country:US
Practice Address - Phone:205-638-9296
Practice Address - Fax:205-975-6505
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2014-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.308642080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine