Raddon LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RADDON LLC

Practice address

114 Gateway Corporate Blvd Ste 220
Columbia, SC 29203-9785

Phone

(770) 335-9797

Fax

(803) 849-8247

NPI assigned

Aug 18, 2018

Organization subpart

No

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

Authorized official

Name

Roger N Phillips

Title

Manager

Phone

(770) 335-9797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1861972853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD STE 220",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039785",
            "telephone_number": "770-335-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GATEWAY CORPORATE BLVD STE 220",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039785",
            "telephone_number": "770-335-9797",
            "fax_number": "803-849-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-18",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-335-9797"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Shane Rabin, M.D.
• David G Rabren
• Rhonda Rachels, APRN
• Brandon Thomas Rackley
• Tammy Radcliff
• Joyce A Radeka
• Karson Riley Radford, PA-C
• Jacqueline Lori Raffaele, APRN
• Sadia Rafi, M.D.
• Muhammad Amir Rafiq, MD

• Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.