Provider Demographics
NPI:1275851032
Name:RAINS, MICHAEL LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEROY
Last Name:RAINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 63249
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28263-3249
Mailing Address - Country:US
Mailing Address - Phone:828-677-3128
Mailing Address - Fax:828-372-4535
Practice Address - Street 1:76 PEACHTREE RD STE 120
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-5041
Practice Address - Country:US
Practice Address - Phone:828-677-3128
Practice Address - Fax:828-222-6042
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2018-01014207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX345615YS4ZMedicare PIN
TX345615YTAQMedicare PIN