Organization
DR. QUINN EAR, NOSE & THROAT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PATEL QUINN M.D. (PRESIDENT)
(704) 782-6673
Entity
Organization
Contact information
Practice address
25 LAKE CONCORD RD NE, CONCORD, NC 28025-3015
(704) 782-6673
Mailing address
25 LAKE CONCORD RD NE, CONCORD, NC 28025-3015
(704) 782-6673
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
30709
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8969744
—
NC
Enumeration date
02/25/2008
Last updated
02/25/2008
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