Basic Information
Provider Information
NPI: 1104089002
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RHYNER
FirstName: JOHN
MiddleName: DAVID
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 602381
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282602381
CountryCode: US
TelephoneNumber: 8282746000
FaxNumber: 8282746025
Practice Location
Address1: 5 VANDERBILT PARK DR
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288031700
CountryCode: US
TelephoneNumber: 8282746000
FaxNumber: 8282746025
Other Information
ProviderEnumerationDate: 07/10/2008
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2015-00761NCN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X2015-00761NCN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0001X2015-00761NCY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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