Organization
RACHEL S CONRAD MD PC
Active
Other names
rachel s conradmd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL SUSAN CONRAD M.D. (OWER/PHYSICIAN)
(228) 868-6530
Entity
Organization
Contact information
Practice address
100A LAROSA, LONG BEACH, MS 39560
(228) 868-6530
Mailing address
100 A LAROSA, LONG BEACH, MS 39560
(228) 868-6530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18000
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00284536
—
MS
Enumeration date
07/12/2007
Last updated
07/12/2007
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