Provider Demographics
NPI:1396710430
Name:BROWN, RACHEL SETZLER (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SETZLER
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:LAKE
Other - Last Name:SETZLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 E MCBEE AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8602
Mailing Address - Fax:
Practice Address - Street 1:1333 TAYLOR ST STE 3D
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2947
Practice Address - Country:US
Practice Address - Phone:803-296-5914
Practice Address - Fax:803-296-5902
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22556207V00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC225562Medicaid
SCH93235Medicare UPIN
SC225562Medicaid
SCH932352353Medicare ID - Type Unspecified