Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 86370 | SC |
NPI | 1023370863 |
---|---|
Provider Name | Dr. Jonathan P Rehfuss |
First Address | Charleston, SC 29407-5384 |
Second Address | Charleston, SC 29407-5384 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2012 |
Last Update Date | 08/11/2021 |