Individual
JUDY REYNOLDS RABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,MSN,FNPC
Contact information
Practice address
723 BROKEN BIT RD, REMBERT, SC 29128-9628
(803) 432-5565
Mailing address
507 W PALMETTO ST, FLORENCE, SC 29501-4427
(843) 669-1010
(843) 669-1054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SC4108
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255623674
ADVANTAGE HEALTH AND WELLNESS CENTER
SC
Enumeration date
05/03/2011
Last updated
06/10/2013
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