Healthcare Provider Details

I. General information

NPI: 1104011592
Provider Name (Legal Business Name): RACHEL L CASE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 EPTING AVE
GREENWOOD SC
29646-4041
US

IV. Provider business mailing address

421 EPTING AVE
GREENWOOD SC
29646-4041
US

V. Phone/Fax

Practice location:
  • Phone: 864-227-6818
  • Fax: 864-227-0850
Mailing address:
  • Phone: 864-227-6818
  • Fax: 864-227-0850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3313
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: