Individual
RACHEL E. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6029 WALNUT GROVE RD, MEMPHIS, TN 38120-2112
(901) 747-3066
Mailing address
6029 WALNUT GROVE RD, MEMPHIS, TN 38120-2112
(901) 747-3066
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
24530
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
54337
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I782623
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
TN
01
—
3713059
MEDICARE GROUP PTAN
TN
Enumeration date
07/20/2009
Last updated
09/16/2016
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