NPI | 1417704792 |
---|---|
Former Legal Business Name | QUANTUM HEALTHCARE ASSOCIATES, PSC |
Entity Type | Organization |
Authorized Contact | CONNIE CASTLE Managing Director 606-436-0711 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2024-05-03 |
Last Update Date | 2024-06-17 |