Provider Demographics
NPI:1932180726
Name:RAHMING, WILCOTTE COLLINGWOOD (MD)
Entity Type:Individual
Prefix:
First Name:WILCOTTE
Middle Name:COLLINGWOOD
Last Name:RAHMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MOORING LN
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:SC
Mailing Address - Zip Code:29676-4018
Mailing Address - Country:US
Mailing Address - Phone:864-719-0181
Mailing Address - Fax:
Practice Address - Street 1:7 MOORING LN
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:SC
Practice Address - Zip Code:29676-4018
Practice Address - Country:US
Practice Address - Phone:864-719-0181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC32248207RG0100X
CAG59852207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4044422Medicaid
CA00G598520Medicaid
SC3222485Medicaid
SC3222485Medicaid
CA00G598520Medicaid