Healthcare Provider Details

I. General information

NPI: 1730994971
Provider Name (Legal Business Name): RACHEL HUGHES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PENDLETON RD
CLEMSON SC
29631-2211
US

IV. Provider business mailing address

1121 TSALI CIR APT 1316
GREENVILLE SC
29601-1023
US

V. Phone/Fax

Practice location:
  • Phone: 864-653-3928
  • Fax: 864-653-1064
Mailing address:
  • Phone: 678-920-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5796
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: