Healthcare Provider Details

I. General information

NPI: 1285167668
Provider Name (Legal Business Name): RACHEL REBECCA KOVAL MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL KOVAL PATZER MD, MPH

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 JESSE HILL JR DR SE
ATLANTA GA
30303-3049
US

IV. Provider business mailing address

531 ASBURY CIRCLE HOSPITAL ANNEX-SUITE N340
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-251-8865
  • Fax: 404-688-6355
Mailing address:
  • Phone: 404-778-2624
  • Fax: 404-778-6876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number83156
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: