Individual
RACHEL THAL-LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-5078
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0110010038
VA
208200000X
Plastic Surgery Physician
0110010038
VA
363AM0700X
Medical Physician Assistant
Primary
0110010038
VA
Other
Enumeration date
05/06/2022
Last updated
06/26/2025
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