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Organization

PSYCHIATRIC PHYSCIAN CONSULTANTS OF RI INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES BRANDON QUALLS MD (PRESIDENT)
(401) 421-0060
Entity
Organization

Contact information

Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 421-0060
(401) 421-6676
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 421-0060
(401) 421-6676

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PP15721
RI
Enumeration date
02/12/2008
Last updated
07/08/2010
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