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Contact Information

ADRIAN D QUALLS, PA-C
2204 PAVILION DR STE 108
KINGSPORT, TN37660-4651
 Phone: 423-392-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADRIAN D QUALLS · (Female)

NPI # 1477942357
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/15/2015
Last updated 06/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-05493
  • TN License # 2921
  • TN Medicaid Q031102
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
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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