Provider Demographics
NPI:1134403751
Name:ALSOP, RACHEL LEIGHANNE (RD LD PA-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEIGHANNE
Last Name:ALSOP
Suffix:
Gender:F
Credentials:RD LD PA-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LEIGHANNE
Other - Last Name:BELEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD LD PA-C
Mailing Address - Street 1:1364 CLIFTON RD NE
Mailing Address - Street 2:CENTER FOR CRITICAL CARE MEDICINE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1059
Mailing Address - Country:US
Mailing Address - Phone:404-712-2000
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:CENTER FOR CRITICAL CARE MEDICINE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-712-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7906363A00000X
NCL003763133V00000X
GALD002801133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered