Individual
MS. RACHELLE M. EIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10512 PARK RD, SUITE 101, CHARLOTTE, NC 28210-8475
(704) 542-3631
(704) 542-3646
Mailing address
PO BOX 33369, CHARLOTTE, NC 28233-3369
(704) 364-8100
(704) 365-2073
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-03362
NC
Other
Enumeration date
09/22/2009
Last updated
02/08/2022
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