Provider Demographics
NPI:1477215598
Name:RAHNER, SEAN (APC)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:RAHNER
Suffix:
Gender:M
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2731 BRICKRUN PL
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-2219
Mailing Address - Country:US
Mailing Address - Phone:762-383-9909
Mailing Address - Fax:
Practice Address - Street 1:601 N BELAIR SQ STE 28
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-4325
Practice Address - Country:US
Practice Address - Phone:706-810-2057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007568101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health