Individual
CLAYTON LEE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 399-3755
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03788
NC
363AM0700X
Medical Physician Assistant
0010-03788
NC
363AM0700X
Medical Physician Assistant
186191
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497006183
—
NC
Enumeration date
09/21/2012
Last updated
04/26/2024
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