Healthqwest Frontier

NPI 1043631476 - Clinic/Center - 261QM2800X

NPI Details
NPI 1043631476
Enumeration Date 01/03/2014
Last Updated 01/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name REGINA REGINA
Position ADMINISTRATOR
Phone (478) 330-7164
Fax
Practice Location
890 BURRUS RD
MACON GA, 31204-1441, US
Phone (478) 330-7164
Fax
Business Location
607 RUSSELL PKWY STE D
WARNER ROBINS GA, 31088-7641, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM2800X
License State Georgia
License Number NTP001074
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According to our database, Healthqwest Frontier NPI is 1043631476, taxonomy code is 261QM2800X and license number is NTP001074, license state is located at Georgia. Healthqwest Frontier physically located at 890 Burrus Rd, Macon GA, 31204-1441. NPI Number 1033115704 has the healthcare provider type.

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1043631476 NPI number is provided on an as is basis without warranty of any kind. 1043631476 is maintained by the National Plan & Provider Enumeration System. The contents of Healthqwest Frontier are for informational purposes only.