Individual
TIMOTHY MICHAEL QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
768 AVERY BLVD N, RIDGELAND, MS 39157-5219
(601) 487-6482
(601) 487-6528
Mailing address
PO BOX 750, RIDGELAND, MS 39158-0750
(601) 899-3990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18002
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007359513
AETNA
—
05
—
03620330
—
MS
01
—
510466372
MS HEALTH PARTNERS
MS
01
—
5104663720001
CIGNA
—
01
—
51046637239211A001
TRICARE
—
01
—
510466732
FIRST CHOICE
—
01
—
51466372
UNITED HEALTHCARE
—
01
—
P00072227
MEDICARE RAILROAD MS
—
Enumeration date
09/22/2006
Last updated
03/10/2023
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