Individual
HENRY E RABUN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2926 PROFESSIONAL PARKWAY, AUGUSTA, GA 30907
(706) 860-0575
(706) 860-4186
Mailing address
2926 PROFESSIONAL PARKWAY, AUGUSTA, GA 30907
(706) 860-0575
(706) 860-4186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10238
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003246628
—
MI
Enumeration date
06/07/2007
Last updated
05/22/2014
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