Individual
JOEL QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602
(229) 333-1000
Mailing address
PO BOX 402059, EMERGENCY MEDICINE SOUTH LLC, ATLANTA, GA 30384-2059
(229) 333-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
054174
GA
207P00000X
Emergency Medicine Physician
ME84971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266756800
—
FL
05
—
482997912A
—
GA
01
—
520681030
BLUE CROSS BLUE SHIELD
GA
Enumeration date
03/14/2006
Last updated
12/09/2008
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