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Organization

QUANTUM PERSONAL HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA PRINCE NP (ADMINISTRATOR)
(678) 353-8528
Entity
Organization

Contact information

Practice address
2775 CRUSE RD NW, STE 201, LAWRENCEVILLE, GA 30044
(678) 353-8528
Mailing address
1398 CHRISTIANA DR, LAWRENCEVILLE, GA 30043-5210
(678) 353-8528

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
10/19/2021
Last updated
11/07/2022
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