Organization Active NPI

Larry D Rabon MD PA

  • Exclusive Provider Organization
  • Florence, SC
National Provider Identifier
1760736763
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
05395 Issued in SC
Legal business name
LARRY D RABON MD PA
Practice address
306 S McQueen St
Florence, SC 29501-4723
Phone
(843) 665-2200
Fax
(843) 665-2210
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Larry D Rabon, M.D.
Title
Owner
Phone
(843) 665-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 05395 SC Primary

Addresses

Primary practice location

306 S McQueen St
Florence, SC 29501-4723

Mailing address

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

National Provider Directory

National Provider Directory

Locations

306 S McQueen St
Florence, SC 29501
Phone (843) 665-2200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1760736763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S MCQUEEN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014723",
            "telephone_number": "843-665-2200",
            "fax_number": "843-665-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MCQUEEN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014723",
            "telephone_number": "843-665-2200",
            "fax_number": "843-665-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D RABON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "RABON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-665-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "SC",
            "license": "05395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.