MEDICARE: RACHEL A YANEV

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1235071754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL A YANEV

Provider Business Mailing Address
First Line	:	743 SPRING ST NE STE 710
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 JESSE JEWELL PKWY SE
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501
Country	:	US
Telephone Number	:	770-219-5407
Fax Number	:	770-219-8369

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	06/16/2026

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Directions to “ RACHEL A YANEV ” Practice Location

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