Healthcare Provider Details

I. General information

NPI: 1467118885
Provider Name (Legal Business Name): RACHEL OLIVIA MARKHAM PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS RACHEL OLIVIA CROWDER

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7845 LITTLE AVE
CHARLOTTE NC
28226-8198
US

IV. Provider business mailing address

PO BOX 470408
CHARLOTTE NC
28247-0408
US

V. Phone/Fax

Practice location:
  • Phone: 704-375-0100
  • Fax: 704-887-6450
Mailing address:
  • Phone: 704-487-4677
  • Fax: 704-887-6450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-12097
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: