Provider Demographics
NPI:1508848607
Name:ARMSTRONG, RAECHEL ALLISON (MD)
Entity Type:Individual
Prefix:DR
First Name:RAECHEL
Middle Name:ALLISON
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RAYMOND
Other - Middle Name:ALTON
Other - Last Name:ARMSTRONG
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-539-5827
Practice Address - Street 1:2006 FRANKLIN ST SE STE 200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4537
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-539-5827
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1490532085R0202X
SC231862085R0202X
TN548152085R0202X
AL000205512085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51595594OtherBCBS
AL51595595OtherBCBS
AL51595605OtherBCBS
AL9950095Medicaid
AL9950105Medicaid
AL245819Medicaid
AL246425Medicaid
AL51595587OtherBCBS
AL135698Medicaid
AL246216Medicaid
AL009950115Medicaid
AL248605Medicaid
AL51067314OtherBCBS
AL51554631OtherBCBS OF AL
AL009950105Medicaid
AL127025Medicaid
AL213227Medicaid
AL246322Medicaid
AL247082Medicaid
AL009942789Medicaid
AL051554631Medicaid
AL51595612OtherBCBS
AL9942789Medicaid
AL009950095Medicaid
10915165OtherCAQH
AL240521Medicaid
AL009911004Medicaid
AL51554631Medicaid
AL51595585OtherBCBS