Provider Demographics
NPI:1679000988
Name:ROLLINS, RACHEL (APN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2492
Mailing Address - Country:US
Mailing Address - Phone:931-728-0772
Mailing Address - Fax:931-728-0444
Practice Address - Street 1:1321 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2492
Practice Address - Country:US
Practice Address - Phone:931-728-0772
Practice Address - Fax:931-728-0444
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine