Healthcare Provider Details

I. General information

NPI: 1154766848
Provider Name (Legal Business Name): RACHEL E YUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL E EDWARDS MD

II. Dates (important events)

Enumeration Date: 05/08/2013
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 MEADOW POINTE
BARBOURSVILLE WV
25504-9209
US

IV. Provider business mailing address

1340 HAL GREER BLVD
HUNTINGTON WV
25701-3804
US

V. Phone/Fax

Practice location:
  • Phone: 304-525-5405
  • Fax: 304-525-3400
Mailing address:
  • Phone: 304-522-3420
  • Fax: 304-529-4645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number27200
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number27200
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: