Individual
DR. HAROLD DAVID QUILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1175 CANTON ST, SUITE TWO, ROSWELL, GA 30075-3616
(770) 594-0700
Mailing address
400 LA VIEW CT, ROSWELL, GA 30075-4670
(770) 993-9042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002304
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00829705A
—
GA
Enumeration date
05/18/2007
Last updated
07/08/2007
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