Dr. John Dale Rathbun
Interventional Cardiology
11700 Mercy Blvd Plaza D
Savannah
, Georgia 31419-1753
Dr. John Dale Rathbun
Interventional Cardiology
11700 Mercy Blvd Plaza D
Savannah
, Georgia 31419-1753
(912) 961-8647
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. John Dale Rathbun
- 11700 Mercy Blvd Plaza D
- Savannah, GA
- Zip : 31419-1753
- Phone : (912) 961-8647
Second Address
- Dr. John Dale Rathbun
- 11700 Mercy Blvd Plaza D
- Savannah, GA
- Zip : 31419-1753
- Phone : (912) 961-8647
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0011X | Interventional Cardiology | 23665 | GA |
National Provider Identifier
| NPI | 1093788192 |
|---|---|
| Provider Name | Dr. John Dale Rathbun |
| First Address | Savannah, GA 31419-1753 |
| Second Address | Savannah, GA 31419-1753 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2006 |
| Last Update Date | 27/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002518091 | (05) | GA |
| 060052301 | MEDICARE RAILROAD (01) | GA |
| D40935 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.