Doctor Name: | JEFFERY M REUBEN |
NPI Number: | 1831269083 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 21737 |
Business Practice Address: | 300 Midtown Dr Beaufort, SC - 299065200 |
Business Phone Number: | 8433797746 |
Business Fax Number: | 8435221275 |
Mailing Address: | Po Box 670, PORT ROYAL |
State: | SC |
Postal Code: | 299350670 |
Phone Number: | 8433797746 |
Fax Number: | 8435221275 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 21737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |