Individual
LESLEY RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, FNP
Contact information
Practice address
9133 TIMBER STREET, NORTH CHARLESTON, SC 29406
(843) 818-1123
(843) 818-1126
Mailing address
9133 TIMBER STREET, NORTH CHARLESTON, SC 29406
(843) 818-1123
(843) 818-1126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2133
SC
367A00000X
Advanced Practice Midwife
Primary
2133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0143
—
SC
Enumeration date
02/20/2006
Last updated
04/28/2008
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