Rathbun, John Dale

Rathbun, John Dale is an individual health care provider with primary practice located at 11700 Mercy Blvd Plaza D, Savannah GA 31419-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Rathbun, John Dale can be contacted via phone (912) 961-8647.

Contact Information

Primary practice address
11700 Mercy Blvd Plaza D Savannah GA 31419-1753
Phone: (912) 961-8647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 23665 Georgia

Profile Details

NPI number 1093788192
LBN Legal business name Rathbun, John Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093788192 NPPES
Georgia MEDICAID 002518091
Georgia Other 060052301

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