Provider Demographics
NPI:1063073088
Name:COFIELD, RACHEL LEWIS (CNM)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LEWIS
Last Name:COFIELD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:HANNAH
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 5610
Mailing Address - Street 2:
Mailing Address - City:CORDELE
Mailing Address - State:GA
Mailing Address - Zip Code:31010-5610
Mailing Address - Country:US
Mailing Address - Phone:229-273-8881
Mailing Address - Fax:229-273-8985
Practice Address - Street 1:355 HAWTHORNE LN
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2153
Practice Address - Country:US
Practice Address - Phone:706-369-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN255158176B00000X
GAUNKNOWN207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA