| Dr. Rachel N. Waford, Llc | |
|
1677 Jobeth Ave Se Atlanta GA 30316-2141 | |
| (470) 654-5223 | |
| Not Available |
| Full Name | Dr. Rachel N. Waford, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1677 Jobeth Ave Se, Atlanta, Georgia |
| Authorized Official Name and Position | Rachel Waford Hall (OWNER) |
| Authorized Official Contact | 4706545223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Rachel N. Waford, Llc 1677 Jobeth Ave Se Atlanta GA 30316-2141 Ph: (470) 654-5223 | Dr. Rachel N. Waford, Llc 1677 Jobeth Ave Se Atlanta GA 30316-2141 Ph: (470) 654-5223 |
| NPI Number | 1801405881 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 3577981638 |
|---|---|
| Medicare Enrollment ID | O20200922001804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801405881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619376118 PECOS PAC ID: 2769707165 Enrollment ID: I20200922001941 |
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