Rachel Mulder Fergus, PA-C
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1669928875
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1669928875
- Entity type
- Individual (NPI-1)
- Name
- Rachel Mulder Fergus
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2016
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 008159 | GA | Yes |
Other names
- Rachel Margaret Mulder (Former Name)
Practice location
1968 Peachtree Rd NwAtlanta, GA 30309-1281
Phone 404-605-5000
Mailing address
1968 Peachtree Rd NwAtlanta, GA 30309-1281
Phone 404-605-5000
Other practice locations
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Stockbridge, GA 30281-5085
Phone 404-367-3014
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