Basic Information
Provider Information
NPI: 1386082725
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RATNER
FirstName: DREW
MiddleName: ALAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 E MCBEE AVE FL 4
Address2:  
City: GREENVILLE
State: SC
PostalCode: 296012842
CountryCode: US
TelephoneNumber: 8645228615
FaxNumber: 8667412706
Practice Location
Address1: 309 E 1ST AVE
Address2:  
City: EASLEY
State: SC
PostalCode: 296403040
CountryCode: US
TelephoneNumber: 8648502663
FaxNumber: 8645225785
Other Information
ProviderEnumerationDate: 06/07/2013
LastUpdateDate: 08/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XS1241TXN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0005XDR.0060454CON Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207X00000X35819SCY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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