# RACHEL S CONRAD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** rachel s conradmd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528267333
- **Authorized official:** DR. RACHEL SUSAN CONRAD M.D. (OWER/PHYSICIAN)
- **Authorized official phone:** (228) 868-6530

## Contact information

- **Practice address:** 100A LAROSA, LONG BEACH, MS 39560
- **Practice address phone:** (228) 868-6530
- **Mailing address:** 100 A LAROSA, LONG BEACH, MS 39560
- **Mailing address phone:** (228) 868-6530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18000 | MS | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 07/12/2007