Organization
HEALTHQUEST PC
Active
Organization
HEALTHQUEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGGIE A. GLENN (COO)
(901) 308-2915
Entity
Organization
Contact information
Practice address
8130 COUNTRY VILLAGE DR STE 102, CORDOVA, TN 38016-2087
(901) 308-2915
(901) 308-2924
Mailing address
8130 COUNTRY VILLAGE DR STE 102, CORDOVA, TN 38016-2087
(901) 308-2915
(901) 308-2924
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010689
—
MS
05
—
120573001
—
AK
05
—
120574001
—
AK
05
—
3161722
—
TN
05
—
3700336
—
MS
05
—
3700336
—
TN
Enumeration date
03/21/2006
Last updated
11/03/2023
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