Individual
DR. JOHN DALE RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11700 MERCY BLVD, PLAZA D, SAVANNAH, GA 31419-1753
(912) 961-8647
Mailing address
11700 MERCY BLVD, PLAZA D, SAVANNAH, GA 31419-1753
(912) 961-8647
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
23665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002518091
—
GA
01
—
060052301
MEDICARE RAILROAD
GA
Enumeration date
02/09/2006
Last updated
11/27/2012
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