Provider Demographics
NPI:1760986798
Name:MCDIEHL, RACHEL PEARL (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:PEARL
Last Name:MCDIEHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:PEARL
Other - Last Name:MCCANDLISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 WINN WAY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2111
Mailing Address - Country:US
Mailing Address - Phone:404-299-9724
Mailing Address - Fax:404-299-0382
Practice Address - Street 1:315 WINN WAY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2111
Practice Address - Country:US
Practice Address - Phone:404-299-9724
Practice Address - Fax:404-299-0382
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92548207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology