Provider Demographics
NPI:1760823942
Name:STEARNS, RACHEL (CNIM)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:STEARNS
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:ROTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:148 NEWCASTLE WALK
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-6087
Mailing Address - Country:US
Mailing Address - Phone:678-409-3514
Mailing Address - Fax:
Practice Address - Street 1:148 NEWCASTLE WALK
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6087
Practice Address - Country:US
Practice Address - Phone:678-409-3514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2285246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic