Provider Demographics
NPI:1497597835
Name:WALKER, RACHEL SHAUGHNESSY (PA-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:SHAUGHNESSY
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:803-314-9740
Mailing Address - Fax:803-314-9741
Practice Address - Street 1:146 E HOSPITAL DR STE 530
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-4800
Practice Address - Country:US
Practice Address - Phone:803-314-9740
Practice Address - Fax:803-314-9741
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC5423363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical