Individual
ELFREN A QUITIQUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 DOCTORS DR, EMPORIA MEDICAL ASSOCIATES PC, EMPORIA, VA 23847-1240
(434) 634-6101
(434) 634-7117
Mailing address
6 DOCTORS DR, EMPORIA MEDICAL ASSOCIATES PC, EMPORIA, VA 23847-1240
(434) 634-6101
(434) 634-7117
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101023031
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187124
BLUE SHIELD
VA
01
—
6475372
CIGNA
—
Enumeration date
07/10/2006
Last updated
07/08/2007
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