BENITA K QUALLS

LEBANON, TN
NPI1629245634
Former NameBENITA K ROBERTS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  185)
Enumeration Date2008-05-09
Last Update Date2011-08-09
Business Address
Mrs. BENITA K QUALLS P.A.
1407 W BADDOUR PKWY
LEBANON, TN 37087-2513
Phone number: 615-444-6203
Mailing Address
Mrs. BENITA K QUALLS P.A.
1407 W BADDOUR PKWY
LEBANON, TN 37087-2513
Phone number: 615-444-6203
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