Individual
DR. JOHN E RATHBUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
997 HIGHWAY 17 SOUTH, # C, SURFSIDE BEACH, SC 29575-6084
(843) 839-4505
(843) 839-2851
Mailing address
997 HIGHWAY 17 SOUTH, # C, SURFSIDE BEACH, SC 29575-6084
(843) 839-4505
(843) 839-2851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15450
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0772
—
SC
Enumeration date
12/01/2005
Last updated
11/15/2013
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