Individual
JACK L RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
739 HAYNE AVE SW, AIKEN, SC 29801-3816
(803) 233-6576
(803) 233-4675
Mailing address
739 HAYNE AVE SW, AIKEN, SC 29801-3816
(803) 233-6576
(803) 233-4675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A35826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083331
—
SC
Enumeration date
04/19/2006
Last updated
01/22/2008
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