Individual
HEATHER RABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1348 WALTON WAY STE 5100, AUGUSTA, GA 30901-5108
(706) 724-8611
(706) 724-6202
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
RN203407
GA
363LF0000X
Family Nurse Practitioner
Primary
RN203407
GA
Other
Enumeration date
08/22/2016
Last updated
08/31/2023
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