Provider Demographics
NPI:1841451713
Name:RAUCH, JULIA KRISTEN (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KRISTEN
Last Name:RAUCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HEALTH PARK DR
Mailing Address - Street 2:REX HEALTHCARE OF GARNER, SUITE 220
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4685
Mailing Address - Country:US
Mailing Address - Phone:919-250-5955
Mailing Address - Fax:
Practice Address - Street 1:300 HEALTH PARK DR
Practice Address - Street 2:REX HEALTHCARE OF GARNER, SUITE 220
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-4685
Practice Address - Country:US
Practice Address - Phone:919-250-5955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-00793207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology