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Individual

MRS. QUINALIN CARIN EASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
FORT JACKSON -MONCRIEF, 4500 8TH DIVISION STREET, FORT JACKSON, SC 29207
(803) 751-7754
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-7754

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1064184
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1064184
NATIONAL PA CERTIFICATION
GA
Enumeration date
08/29/2005
Last updated
07/14/2025
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