Individual
SEAN E. RUBENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-4062
Mailing address
PO BOX 1792, COLUMBIA, SC 29202-1792
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4428
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128150
TX
Other
Enumeration date
01/27/2011
Last updated
08/02/2016
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