# QUINTESSENTIAL WELLNESS

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

## Provider details

- **NPI number:** 1972983286
- **Authorized official:** AMANDA R KEATES D.C (OWNER)
- **Authorized official phone:** (919) 400-7909

## Contact information

- **Practice address:** 620 NC HIGHWAY 42 W, CLAYTON, NC 27520-5803
- **Practice address phone:** (919) 400-7909
- **Practice address fax:** (919) 243-0530
- **Mailing address:** 620 NC HIGHWAY 42 W, CLAYTON, NC 27520-5803
- **Mailing address phone:** (919) 400-7909
- **Mailing address fax:** (919) 243-0530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3960 | NC | Yes |

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 08/13/2015