Individual provider · Type 1 NPI
Rahn Antonio Ravenell, DPM
Foot & Ankle Surgery Podiatrist · Charleston, SC
NPI number
1639492473
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-1810
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD001109 (GA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 603 (SC) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1639492473
Rahn Antonio Ravenell, DPM's National Provider Identifier is 1639492473, issued on Mar 8, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Charleston, SC. The record was last updated on Oct 17, 2019.