| 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 |