| NPI | 1790158087 |
|---|---|
| Doing Business As | QUINCY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | PATTY WOERMAN Credentialing Specialist 217-222-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2023-02-10 |