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Individual

RACHEL EPSTEIN FARGASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15743
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000084054
BLUE CROSS
AL
05
000084054
AL
01
051047504
BLUE CROSS
AL
01
051110418
BLUE CROSS
AL
01
051502077
BC FEDERAL EHBP
AL
01
051598027
BLUE CROSS
AL
05
110066
AL
05
123241
AL
01
330500280
MEDICAID REHAB
AL
01
51598463
BLUE CROSS
AL
01
51598465
BLUE CROSS
AL
01
51598468
BLUE CROSS
AL
01
E99475
VIVA
AL
Enumeration date
06/15/2006
Last updated
06/29/2023
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