Provider Demographics
NPI:1215350988
Name:LOUIS, RACHEL G (PA-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:G
Last Name:LOUIS
Suffix:
Gender:
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1908 HILCO ST
Mailing Address - Street 2:STE. B
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-6387
Mailing Address - Country:US
Mailing Address - Phone:704-983-3855
Mailing Address - Fax:704-985-1031
Practice Address - Street 1:300 BILLINGSLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1180
Practice Address - Country:US
Practice Address - Phone:704-372-7974
Practice Address - Fax:704-970-4746
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2025-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-04807363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant