Individual
MRS. COURTNEY BOSWELL MCQUAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 FRIST CT, COLUMBUS, GA 31909-3578
(706) 494-2578
Mailing address
224 LEE ROAD 2105, PHENIX CITY, AL 36870-4751
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
AT000905
GA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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