Individual
KARLI QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
228 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501-2488
(931) 372-0405
(931) 372-0463
Mailing address
228 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501-2488
(931) 372-0405
(931) 372-0463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6093446
BCBS
TN
Enumeration date
12/04/2013
Last updated
06/17/2022
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