Provider Demographics
NPI:1982826921
Name:HARRIS, RACHEL ROSENBERG (DO)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ROSENBERG
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ROSENBERG
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:828-339-7253
Mailing Address - Fax:828-586-8209
Practice Address - Street 1:317 N KING ST STE B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-4349
Practice Address - Country:US
Practice Address - Phone:828-693-9199
Practice Address - Fax:828-692-2487
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP02132559OtherRAILROAD MEDICARE-LFM
NC1463MOtherBCBS OF NC
NCNC7264COtherMEDICARE PTAN-LFM
NC5907279Medicaid
NC7151519OtherCIGNA HEALTHCARE
NC2403692OtherMEDICARE PTAN