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Individual

FREDERICK C QUIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1374
(706) 660-2686
Mailing address
6046 GA HIGHWAY 116, HAMILTON, GA 31811-6008
(706) 628-5459
(706) 660-2686

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000650
GA

Other

Enumeration date
09/05/2005
Last updated
07/08/2007
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