Individual
RAYFORD EDWIN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2550 ELMS CENTRE RD, NORTH CHARLESTON, SC 29406-9844
(843) 572-7727
(843) 569-5881
Mailing address
PO BOX 118008, CHARLESTON, SC 29423-8008
(834) 572-7727
(843) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18983
NC
207Q00000X
Family Medicine Physician
Primary
6407
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8969741
—
NC
05
—
N18983
—
SC
01
—
P00721743
RR MEDICARE
SC
Enumeration date
09/29/2005
Last updated
08/15/2011
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