Individual provider · Type 1 NPI
John Michael Rutledge, PA
Surgical Physician Assistant · Bethlehem, GA
NPI number
1003403353
Active
Practice location
990 Loganville Hwy Ste 102
Bethlehem, GA 30620-2175
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Other practice locations
- 417 State Street, Webber West Suite 340, Bangor, ME 04401 · (207) 973-4949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA2259 (ME) |
| Surgical Physician Assistant Primary | 363AS0400X | 13313 (GA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Bethlehem
About NPI 1003403353
John Michael Rutledge, PA's National Provider Identifier is 1003403353, issued on Dec 21, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bethlehem, GA. The record was last updated on Aug 15, 2025.