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DR. EMILI RACHELE MACK MD NPI 1184618019


NPI Information

NPI: 1184618019
Provider Name: DR. EMILI RACHELE MACK, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3721 LYNN RD STE 104
RALEIGH, NC
ZIP 27613
Phone: (919) 825-3600
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DR. Emili Rachele Mack, MD is a pediatrics in Raleigh, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Emili Rachele Mack, MD NPI is 1184618019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3721 LYNN RD STE 104
RALEIGH, NC
ZIP 27613-855
Phone: (919) 825-3600
Fax: (984) 200-6001

The enumeration date for this NPI number is 9/7/2005 and was last updated on 4/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics2005-01260NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15902210MEDICAIDNORTH CAROLINA
2BM9475561OTHERDEA
32005-01260OTHERNORTH CAROLINASTATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.