NPI 1760736763

Larry D Rabon MD PA

Organisation Exclusive Provider Organization Florence, SC

Practice location

Address: 306 S McQueen St, Florence, SC 29501-4723
Phone: (843) 665-2200
Fax: (843) 665-2210

Authorised official

Name: Larry D Rabon
Title: Owner
Phone: (843) 665-2200

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 05395 (SC)

Other Exclusive Provider Organization providers in South Carolina →

Registry record

NPI: 1760736763
Entity type: Organization
NPI issued: 30 Oct 2012
Record last updated: 30 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.