Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD.18041 | AL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 38591 | GA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD.18041 | AL |
N | 2086S0105X | Surgery of the Hand | 038591 | GA |
N | 2086S0105X | Surgery of the Hand | MD.18041 | AL |
NPI | 1265475354 |
---|---|
Provider Name | Dr. David C. Rehak |
First Address | Fortson, GA 31808-0370 |
Second Address | Columbus, GA 31909-3540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 20/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F84506 | (02) |