Healthcare Provider Details
I. General information
NPI: 1942702485
Provider Name (Legal Business Name): RACHELLE MARIE BEECHLER PHELBOTOMIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/28/2018
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
406C TIFFANY PARK
GAFFNEY SC
29341-1262
US
IV. Provider business mailing address
406C TIFFANY PARK
GAFFNEY SC
29341-1262
US
V. Phone/Fax
- Phone: 864-649-5556
- Fax: 844-298-8387
- Phone: 864-649-5556
- Fax: 844-298-8387
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246RP1900X |
| Taxonomy | Phlebotomy Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: