Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | POD001007 | GA |
Y | 222Z00000X | Podiatrist | POD001007 | GA |
NPI | 1073516175 |
---|---|
Provider Name | Dr. Rachel Rader |
First Address | Statesville, NC 28625-2280 |
Second Address | Statesville, NC 28625-2280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 02/10/2008 |