MEDICARE: DR. RAE ROCHEL QUIGLEY 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	208000000X	Pediatrics Physician	92544	SC

General Provider Information

NPI Number	:	1952795403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAE ROCHEL QUIGLEY MD

Provider Business Mailing Address
First Line	:	525 VERDAE BLVD STE 200
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-4021
Country	:	US
Telephone Number	:	864-272-0388
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 VERDAE BLVD STE 200
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-4021
Country	:	US
Telephone Number	:	864-272-0388
Fax Number	:

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

Provider Enumeration Date	:	03/23/2015
Last Update Date	:	04/15/2026

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