Individual
REBECCA FAUST RAKESTRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
724 CREEKSIDE DR, MT PLEASANT, SC 29464-3604
(843) 881-6786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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