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Organization

DR. STEPHEN QUILL, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN G QUILL M.D. (MD)
(770) 338-8362
Entity
Organization

Contact information

Practice address
771 OLD NORCROSS RD, SUITE 300, LAWRENCEVILLE, GA 30046-4386
(770) 338-8362
(770) 338-8364
Mailing address
771 OLD NORCROSS RD, SUITE 300, LAWRENCEVILLE, GA 30046-4386
(770) 338-8362
(770) 338-8364

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
035321
GA

Other

Enumeration date
02/10/2010
Last updated
02/10/2010
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