Organization
QLER SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE FORT (DIRECTOR OF CREDENTIALING)
(910) 523-1052
Entity
Organization
Contact information
Practice address
300 S PRESTON ST, RANSON, WV 25438-1631
(304) 728-1600
Mailing address
1900 CAMPUS COMMONS DR, SUITE 100, RESTON, VA 20191-1561
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
03/22/2017
Last updated
12/21/2017
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