| NPI | 1891996930 |
|---|---|
| Other Name | QUINCY MEDICAL GROUP CANTON AFFILIATE |
| Entity Type | Organization |
| Authorized Contact | PATTY WOERMAN Credentialing Specialist 217-222-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-03-30 |