Provider Demographics
NPI:1467335729
Name:COUSINS, RACHELLE ELAINE
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:ELAINE
Last Name:COUSINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W PEACHTREE ST NW STE 1700
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-3631
Mailing Address - Country:US
Mailing Address - Phone:877-725-4463
Mailing Address - Fax:
Practice Address - Street 1:600 W PEACHTREE ST NW STE 1700
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-3631
Practice Address - Country:US
Practice Address - Phone:877-725-4463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory