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Individual

JOHN STEPHEN QUINLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
912 WARD ST W, DOUGLAS, GA 31533-3516
(912) 384-2088
Mailing address
21581 GA HIGHWAY 169, CLAXTON, GA 30417-4113
(912) 618-0017

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030958
GA

Other

Enumeration date
06/17/2021
Last updated
07/25/2021
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