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Dr. Rachel L. Sturdivant

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NPI Number Detailed Information

Provider Information:

Name: Dr. Rachel L. Sturdivant
Gender: F
Provider License Number If Given: 22000

NPI Information:

NPI: 1225037765
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 10/4/2011

Provider Business Mailing Address:

Address: PO BOX 751461
Charlotte, NC 28275
Phone Number: 8437926200
Fax Number: 8437237404

Provider Business Practice Location Address:

Address: 171 ASHLEY AVENUE
Charleston, SC 29425
Phone Number: 8437921414
Fax Number: 8437237404

Provider Taxonomy:

Primary: 207RN0300X
Secondary (if any):
State: SC

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