Organization
ORTHOPCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHRISTOPHER QUILLEN (PRESIDENT)
(865) 755-6777
Entity
Organization
Contact information
Practice address
100 RICE MINE ROAD LOOP STE 102, TUSCALOOSA, AL 35406-2423
(865) 755-6777
(205) 342-2609
Mailing address
100 RICE MINE ROAD LOOP STE 102, TUSCALOOSA, AL 35406-2423
(205) 342-2609
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
47
AL
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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