Individual
JEFFERSON THOMAS RABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2093 HENRY TECKLENBURG DR STE 200E, CHARLESTON, SC 29414-5742
(843) 958-2500
(843) 958-2680
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008344
GA
363A00000X
Physician Assistant
Primary
2219
SC
363A00000X
Physician Assistant
8344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019PA
—
SC
Enumeration date
09/29/2014
Last updated
04/01/2026
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