Quinton Wendell Carroll FNP

NPI 1619187283 - Registered Nurse - 163WC1500X

NPI Details
NPI 1619187283
Gender Male
Enumeration Date 05/23/2007
Last Updated 06/05/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2811 W MARKET ST
SUITE 1
JOHNSON CITY TN, 37604-5127, US
Phone (423) 928-2135
Fax (423) 928-5814
Business Location
2811 W MARKET ST
SUITE 1
JOHNSON CITY TN, 37604-5127, US
Phone (423) 928-2135
Fax (423) 928-5814
Toxanomy
Taxonomy Code 163WC1500X
License State Tennessee
License Number 153426
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According to our database, Mr. Quinton Wendell Carroll FNP NPI is 1619187283, taxonomy code is 163WC1500X and license number is 153426, license state is located at Tennessee. Quinton Wendell Carroll FNP physically located at 2811 W Market St, Johnson City TN, 37604-5127. NPI Number Quinton Wendell Carroll FNP has the Individual type.

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1619187283 NPI number is provided on an as is basis without warranty of any kind. 1619187283 is maintained by the National Plan & Provider Enumeration System. The contents of Quinton Wendell Carroll FNP are for informational purposes only.