Raybourne, Susan Roberta

Raybourne, Susan Roberta is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Raybourne, Susan Roberta can be contacted via phone (803) 776-4000.

Contact Information

Primary practice address
6439 Garners Ferry Rd Columbia SC 29209-1638
Phone: (803) 776-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 027683 Georgia

Profile Details

NPI number 1518984350
LBN Legal business name Raybourne, Susan Roberta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 21st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518984350 NPPES
Georgia Other 027638 STATE LICENSE

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