Individual
JAMIN D QUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1431 SMOKY PARK HIGHWAY, CANDLER, NC 28715-0399
(828) 665-1577
(828) 667-5061
Mailing address
PO BOX 399, CANDLER, NC 28715-0399
(828) 665-1577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2466
NC
152W00000X
Optometrist
3341
TN
Other
Enumeration date
09/23/2016
Last updated
08/09/2022
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