Individual
DR. EMILI RACHELE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3721 LYNN RD STE 104, RALEIGH, NC 27613-3855
(919) 825-3600
(984) 200-6001
Mailing address
3721 LYNN RD STE 104, RALEIGH, NC 27613-3855
(919) 825-3600
(984) 200-6001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-01260
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005-01260
STATE MEDICAL LICENSE
NC
05
—
5902210
—
NC
Enumeration date
09/07/2005
Last updated
03/07/2023
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