Basic Information
Provider Information
NPI: 1609873546
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURTIS
FirstName: RACHEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 602598
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282602598
CountryCode: US
TelephoneNumber: 3367162255
FaxNumber:  
Practice Location
Address1: 810 FAIRGROVE CHURCH RD
Address2:  
City: HICKORY
State: NC
PostalCode: 286029617
CountryCode: US
TelephoneNumber: 3367162255
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2005
LastUpdateDate: 05/30/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X2010-01635NCY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
160987354605VA MEDICAID
591697305NC MEDICAID
60647870001FLDOL GRP #OTHER
26268960005FL MEDICAID
ME6265201FLLICENSEOTHER
0504301FLBCBSF GRP# 98513OTHER
381001629705WV MEDICAID


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