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Contact Information

QUINALIN C EASLEY, PA-C
FORT JACKSON -MONCRIEF
4500 8TH DIVISION STREET
FORT JACKSON, SC29207
 Phone: 803-751-7754
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for QUINALIN C EASLEY · (Female)

NPI Number 1326031089
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/29/2005
Last updated 07/14/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 1064184
  • GA Other 1064184 NATIONAL PA CERTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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