Individual
JENNIFER DENISE RAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40577
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40577
MEDICAL LICENSE
SC
05
—
405779
—
SC
01
—
P01931498
RR MEDICARE
SC
01
—
SCA944
MEDICARE
SC
Enumeration date
04/17/2014
Last updated
01/10/2024
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