Individual
DR. RACHAEL RIDER FOURNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9224 ARDREY KELL RD STE 200, CHARLOTTE, NC 28277-4952
(704) 316-1495
(704) 316-1496
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2015-01114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366702672
—
NC
05
—
NC2491
—
SC
Enumeration date
05/21/2012
Last updated
10/25/2020
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