# QUAD E CORP

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

## Provider details

- **NPI number:** 1477039378
- **Authorized official:** MRS. MARY ANN STREETER NURSE PRACTITIONER (PRESIDENT/CEO)
- **Authorized official phone:** (803) 447-9460

## Contact information

- **Practice address:** 301 OLIVE ST, HINESVILLE, GA 31313-2915
- **Practice address phone:** (912) 436-3488
- **Practice address fax:** (912) 436-3487
- **Mailing address:** 2 CORPUS CHRISTIE PL STE 200, HILTON HEAD, SC 29928-1712
- **Mailing address phone:** (912) 436-3488
- **Mailing address fax:** (912) 436-3487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2018
- **Last updated:** 07/13/2018