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Individual

DR. REBECCA ASHLEY RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1037
(843) 402-1295
Mailing address
PO BOX 602645, CHARLOTTE, NC 28260-2645
(843) 789-1620
(843) 724-2454

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1550
SC
207P00000X
Emergency Medicine Physician
DO1550
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015502
SC
Enumeration date
05/07/2009
Last updated
12/04/2020
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