Individual
LYNN D. QUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1120 GROVE RD, SUITE B, GREENVILLE, SC 29605-4656
(864) 455-6444
(864) 455-6598
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2392
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0083
—
SC
Enumeration date
05/04/2006
Last updated
05/13/2021
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