Millennium Medical Alpharetta

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILLENNIUM MEDICAL ALPHARETTA

Practice address

12755 Century Dr Unit a
Alpharetta, GA 30009-8377

Phone

(678) 395-7233

NPI assigned

Feb 11, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keviene W Rutherford, MD

Title

Manager

Phone

(678) 395-7233

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1518299890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12755 CENTURY DR UNIT A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098377",
            "telephone_number": "678-395-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 CENTURY DR UNIT A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098377",
            "telephone_number": "678-395-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL ALPHARETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "KEVIENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-395-7233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.