# RACHEL DAWN ELLYN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669966040
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 52790 | SC | Yes |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | 52790 | SC | — |

## Other

- **Enumeration date:** 06/19/2018
- **Last updated:** 03/06/2025