Rachel L Whitfield, REGISTERED NURSE
Individual provider Active NPI Clinical Medical Laboratory · Rex, GA
NPI 1699094565 · NPPES record last updated May 18, 2010
Key facts
- NPI
- 1699094565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- RN128196 (GA)
- Practice address
- 3528 Stonefield CT
Rex, GA 30273-1187 - Phone
- (770) 389-0491
- Fax
- (770) 389-0491
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN128196 | GA | MD | Clinical Medical Laboratory |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | RN128196 | GA | Yes |
Addresses
Primary practice location
3528 Stonefield CT
Rex, GA 30273-1187
Mailing address
3528 Stonefield CT
Rex, GA 30273-1187
Phone (770) 389-0491
Other providers in Rex, GA
- Shanasia Victrum
- Vonetta Williams Enterprise LLC
- Walgreen Co
- Patricia Watson
- Berthina Gaynell Weaver
- Nicole Sherrette Williams
- Ralph Bernard Willliams
- Akwasi G Yeboah
- Yoru'Ba' House of Worship, Inc.
All providers in Rex, GA · Clinical Medical Laboratory in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.