# LARRY D RABON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760736763
- **Authorized official:** DR. LARRY D RABON M.D. (OWNER)
- **Authorized official phone:** (843) 665-2200

## Contact information

- **Practice address:** 306 S MCQUEEN ST, FLORENCE, SC 29501-4723
- **Practice address phone:** (843) 665-2200
- **Practice address fax:** (843) 665-2210
- **Mailing address:** 306 S MCQUEEN ST, FLORENCE, SC 29501-4723
- **Mailing address phone:** (843) 665-2200
- **Mailing address fax:** (843) 665-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 05395 | SC | Yes |

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 10/30/2012