Individual
DAVID QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 352-4882
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
876024
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01255657
RAILROAD MEDICARE
MS
Enumeration date
02/23/2011
Last updated
08/23/2021
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