MEDICARE: RACHEL H LATREMOUILLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	101917	GA

General Provider Information

NPI Number	:	1215565841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL H LATREMOUILLE MD

Provider Business Mailing Address
First Line	:	1962 MCDOWELL ST
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30904-4173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 WALTON WAY
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30901-2612
Country	:	US
Telephone Number	:	706-774-5795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2020
Last Update Date	:	04/15/2026

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