A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI # | 1962060939 |
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| LBN Legal business name | QUICK CARE MED, LLC | ||||
| Authorized official | JEANETTE SMITH - (CREDENTIALING MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 06/04/2019 | ||||
| Last updated | 06/24/2021 - About 5 years ago | ||||
| Identifiers |
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