Provider Demographics
NPI:1760737183
Name:STEPHENS, RACHEL PAIGE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:PAIGE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:150 INTERSTATE SOUTH DR STE 100
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-6252
Mailing Address - Country:US
Mailing Address - Phone:706-253-3376
Mailing Address - Fax:706-253-3223
Practice Address - Street 1:150 INTERSTATE SOUTH DR STE 100
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-6252
Practice Address - Country:US
Practice Address - Phone:706-253-3376
Practice Address - Fax:706-253-3223
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPA7850363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant