Individual
CAROLYN K MCMURPHY-QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
204 E 3RD ST, CENTRALIA, IL 62801-3902
(618) 244-4800
(618) 244-4804
Mailing address
204 E 3RD ST, CENTRALIA, IL 62801-3902
(618) 244-4800
(618) 244-4804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001057
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212529
GROUP MEDICARE #
IL
Enumeration date
05/26/2006
Last updated
01/15/2015
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