Individual
DR. RACHEL CARROLL-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/MPH
Contact information
Practice address
10510 JEFFERSON AVE STE D, NEWPORT NEWS, VA 23601-3102
(757) 594-4720
(757) 594-4735
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101273717
VA
207V00000X
Obstetrics & Gynecology Physician
274551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04512621
—
NY
Enumeration date
05/25/2012
Last updated
03/17/2022
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