Individual
DR. RACHEL ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
12040
NC
231H00000X
Audiologist
4054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239580
WELLCARE OF SC
SC
05
—
1992156558
—
NC
01
—
19K2L
BCBSNC
NC
01
—
4176946
AETNA
—
05
—
SAN133
—
SC
Enumeration date
06/24/2016
Last updated
06/07/2018
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