Provider Demographics
NPI:1891963435
Name:HUOT, RACHEL (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HUOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:102 WEST BROADDUS AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BOWLING GREEN
Mailing Address - State:VA
Mailing Address - Zip Code:22427-1596
Mailing Address - Country:US
Mailing Address - Phone:804-632-1030
Mailing Address - Fax:804-632-1033
Practice Address - Street 1:102 WEST BROADDUS AVENUE
Practice Address - Street 2:SUITE 200
Practice Address - City:BOWLING GREEN
Practice Address - State:VA
Practice Address - Zip Code:22427-1596
Practice Address - Country:US
Practice Address - Phone:804-632-1030
Practice Address - Fax:804-632-1033
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2015-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101242829207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine