# WESLEY QUARLES NP CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073288924
- **Authorized official:** WESLEY LEE QUARLES CRNP (OWNER)
- **Authorized official phone:** (256) 458-2140

## Contact information

- **Practice address:** 2447 POWELL ST, SOUTHSIDE, AL 35907-7761
- **Practice address phone:** (256) 458-2140
- **Mailing address:** 2447 POWELL ST, SOUTHSIDE, AL 35907-7761
- **Mailing address phone:** (256) 458-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2021
- **Last updated:** 08/12/2021