Provider Demographics
NPI:1982826921
Name:HARRIS, RACHEL ROSENBERG (DO)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ROSENBERG
Last Name:HARRIS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ROSENBERG
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:317 N KING ST STE A
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-4349
Practice Address - Country:US
Practice Address - Phone:828-693-3344
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCS2119400406OtherCARESOURCE
NCNC7264COtherMEDICARE PTAN-LFM
NCP02132559OtherRAILROAD MEDICARE-LFM
NC1463MOtherBCBS OF NC
NC5907279Medicaid
NC2403692OtherMEDICARE PTAN