Provider Demographics
NPI:1053006866
Name:MOFFETT, RACHEL PAGE (DO)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:PAGE
Last Name:MOFFETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CEDAR HILL LN
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:VA
Mailing Address - Zip Code:24482-2511
Mailing Address - Country:US
Mailing Address - Phone:540-292-7980
Mailing Address - Fax:
Practice Address - Street 1:ATRIUM HEALTH MYERS PARK
Practice Address - Street 2:1350 SOUTH KINGS DRIVE
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207
Practice Address - Country:US
Practice Address - Phone:704-446-1242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program