MEDICARE: RACHEL ELLEN HARPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	LL84548	SC

General Provider Information

NPI Number	:	1053938977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ELLEN HARPER MD

Provider Business Mailing Address
First Line	:	4414 LAKE BOONE TRL STE 210
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-7520
Country	:	US
Telephone Number	:	919-571-1040
Fax Number	:	919-781-0247

Provider Business Practice Location Address
First Line	:	4414 LAKE BOONE TRL STE 210
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-7520
Country	:	US
Telephone Number	:	919-571-1040
Fax Number	:	919-781-0247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2020
Last Update Date	:	03/17/2026

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