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1336133461
FREDERICK C QUIRK
COLUMBUS, GA
NPI
1336133461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 000650)
Enumeration Date
2005-09-05
Last Update Date
2007-07-08
Business Address
-- FREDERICK C QUIRK PA
710 CENTER ST
COLUMBUS, GA 31901-1527
Phone number: 706-571-1374
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Mailing Address
-- FREDERICK C QUIRK PA
6046 GA HIGHWAY 116
HAMILTON, GA 31811-6008
Phone number: 706-628-5459
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