Provider Demographics
NPI:1932553021
Name:CHARLES, RACHEL ELISABETH (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELISABETH
Last Name:CHARLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELISABETH
Other - Last Name:BARTSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:625 19TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0012
Mailing Address - Country:US
Mailing Address - Phone:205-934-2490
Mailing Address - Fax:205-975-6424
Practice Address - Street 1:625 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0012
Practice Address - Country:US
Practice Address - Phone:205-934-2490
Practice Address - Fax:205-975-6424
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program