Provider Demographics
NPI:1467118885
Name:MARKHAM, RACHEL OLIVIA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:OLIVIA
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:OLIVIA
Other - Last Name:CROWDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:951 WENDOVER HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3565
Mailing Address - Country:US
Mailing Address - Phone:704-487-4677
Mailing Address - Fax:704-887-6450
Practice Address - Street 1:951 WENDOVER HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3565
Practice Address - Country:US
Practice Address - Phone:704-487-4677
Practice Address - Fax:704-887-6450
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-12097363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-12097OtherNORTH CAROLINA MEDICAL BOARD