Healthcare Provider Details

I. General information

NPI: 1104322429
Provider Name (Legal Business Name): RACHEL METCALFE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 GRACERN RD STE 102
COLUMBIA SC
29210-7658
US

IV. Provider business mailing address

300 E MCBEE AVE STE 300
GREENVILLE SC
29601-2899
US

V. Phone/Fax

Practice location:
  • Phone: 803-296-2585
  • Fax: 803-551-1254
Mailing address:
  • Phone: 864-522-8611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number84167
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: