MEDICARE: DR. RACHEL DOLHUN 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	2084N0400X	Neurology Physician	44611	TN
2	2084N0400X	Neurology Physician	2010-01155	NC

General Provider Information

NPI Number	:	1801943766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL DOLHUN MD

Provider Business Mailing Address
First Line	:	1900 SCOTT AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-6046
Country	:	US
Telephone Number	:	704-334-7311
Fax Number	:	704-332-2329

Provider Business Practice Location Address
First Line	:	1900 SCOTT AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-6046
Country	:	US
Telephone Number	:	704-334-7311
Fax Number	:	704-332-2329

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/25/2011

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