Provider Demographics
NPI:1871795682
Name:RABIN, JUDITH LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:LYNN
Last Name:RABIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 W COLEMAN BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3449
Mailing Address - Country:US
Mailing Address - Phone:843-881-6343
Mailing Address - Fax:843-278-8449
Practice Address - Street 1:320 W COLEMAN BLVD STE E
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3449
Practice Address - Country:US
Practice Address - Phone:843-881-6343
Practice Address - Fax:843-278-8449
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor