Bailey Elizabeth Qualls PA-C

NPI 1215276654 - Physician Assistant - 363AS0400X

NPI Details
NPI 1215276654
Gender Female
Enumeration Date 02/05/2013
Last Updated 07/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
701 MED TECH PKWY
SUITE 300
JOHNSON CITY TN, 37604-2365, US
Phone (423) 232-8301
Fax (423) 232-8304
Business Location
PO BOX 9150
PADUCAH KY, 42002-9150, US
Phone (270) 744-9600
Fax (270) 744-0834
Toxanomy
Taxonomy Code 363AS0400X
License State Tennessee
License Number 2282
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According to our database, Bailey Elizabeth Qualls PA-C NPI is 1215276654, taxonomy code is 363AS0400X and license number is 2282, license state is located at Tennessee. Bailey Elizabeth Qualls PA-C physically located at 701 Med Tech Pkwy, Johnson City TN, 37604-2365. NPI Number Bailey Elizabeth Qualls PA-C has the Individual type.

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1215276654 NPI number is provided on an as is basis without warranty of any kind. 1215276654 is maintained by the National Plan & Provider Enumeration System. The contents of Bailey Elizabeth Qualls PA-C are for informational purposes only.