MEDICARE: DR. WILLIAM RAYBURN MD, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	99-106	NM
2	2084P0804X	Child & Adolescent Psychiatry Physician	MD83276	SC

General Provider Information

NPI Number	:	1922015999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM RAYBURN MD, MBA

Provider Business Mailing Address
First Line	:	710 JOHNNIE DODDS BLVD
Second Line	:	STE 200
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3045
Country	:	US
Telephone Number	:	843-800-1303
Fax Number	:	888-316-7716

Provider Business Practice Location Address
First Line	:	103 PALM BLVD STE 2A
Second Line	:
City	:	ISLE OF PALMS
State	:	SC
Zip	:	29451-2165
Country	:	US
Telephone Number	:	843-800-1303
Fax Number	:	888-316-7716

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	06/02/2021

Similar Medicare Providers

1417916248 — BROOKE G DOOLEY LPC
Practice Location Address:

103 PALM BLVD STE 2A
ISLE OF PALMS, SC
29451-2165

Practice Phone: 843-270-8024
Practice Fax:

1124300058 — MRS. TAYLOR N CREWS MSN, APRN, PMHNP
Practice Location Address:

103 PALM BLVD STE 2A
ISLE OF PALMS, SC
29451-2165

Practice Phone: 843-800-1303
Practice Fax: 888-316-7716

1053165316 — THE ISLAND DOCTOR
Practice Location Address:

103 PALM BLVD STE 2D
ISLE OF PALMS, SC
29451-2165

Practice Phone: 843-242-7362
Practice Fax:

1467243931 — ELISSA REILLY SLATER BSN RN
Practice Location Address:

103 PALM BLVD STE 2D
ISLE OF PALMS, SC
29451-2165

Practice Phone: 424-413-3244
Practice Fax:

1629958947 — QUERCUS COUNSELING, LLC
Practice Location Address:

103 PALM BLVD STE 2A
ISLE OF PALMS, SC
29451-2165

Practice Phone: 843-270-8024
Practice Fax:

1780682195 — KATHLEEN RUTH MALANEY MD
Practice Location Address:

1202 PALM BLVD , SUITE A
ISLE OF PALMS, SC
29451-2296

Practice Phone: 843-886-4402
Practice Fax: 843-886-4430

Directions to “ DR. WILLIAM RAYBURN MD, MBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.