Provider Demographics
NPI:1548505654
Name:RUTLEDGE ALI, AMEENA JEANE (PHD)
Entity type:Individual
Prefix:DR
First Name:AMEENA
Middle Name:JEANE
Last Name:RUTLEDGE ALI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:AMEENA
Other - Middle Name:JEANE
Other - Last Name:RUTLEDGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:14238 E MISSISSIPPI PL
Mailing Address - Street 2:SUITE 4-205
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4904
Mailing Address - Country:US
Mailing Address - Phone:770-870-8045
Mailing Address - Fax:209-821-8045
Practice Address - Street 1:1719 W AUSTIN RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-4861
Practice Address - Country:US
Practice Address - Phone:770-870-8045
Practice Address - Fax:209-821-8045
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife