Provider Demographics
NPI:1083797898
Name:RABUN, CATHERINE CATES (R N)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CATES
Last Name:RABUN
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 MIDDLEGROUND RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-6402
Mailing Address - Country:US
Mailing Address - Phone:478-625-3716
Mailing Address - Fax:478-625-8201
Practice Address - Street 1:2501 U. S. HWY 1 N
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:GA
Practice Address - Zip Code:30434
Practice Address - Country:US
Practice Address - Phone:478-625-3716
Practice Address - Fax:478-625-8201
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN123061163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health