Provider Demographics
NPI:1235549411
Name:RUTHERFORD, SARAH POLLY (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:POLLY
Last Name:RUTHERFORD
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BERNICE
Other - Last Name:POLLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 21ST AVE S
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3160
Mailing Address - Country:US
Mailing Address - Phone:615-343-4991
Mailing Address - Fax:615-343-3343
Practice Address - Street 1:1500 21ST AVE S
Practice Address - Street 2:SUITE 2500
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3160
Practice Address - Country:US
Practice Address - Phone:615-343-4991
Practice Address - Fax:615-343-3343
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS