Individual
QUINETRA GATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 9TH AVE S, BIRMINGHAM, AL 35233-1124
(205) 934-5149
Mailing address
2153 17TH AVE S, BIRMINGHAM, AL 35205-5024
(843) 532-7991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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