Provider Demographics
NPI:1952795098
Name:MCSWAIN, RACHEL (NP)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:
Last Name:MCSWAIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MEDICAL CT
Mailing Address - Street 2:
Mailing Address - City:OLGETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:31068
Mailing Address - Country:US
Mailing Address - Phone:478-458-9942
Mailing Address - Fax:478-458-9969
Practice Address - Street 1:300 MEDICAL CT
Practice Address - Street 2:
Practice Address - City:OLGETHORPE
Practice Address - State:GA
Practice Address - Zip Code:31068
Practice Address - Country:US
Practice Address - Phone:478-458-9942
Practice Address - Fax:478-458-9969
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177603363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care