Organization
MQA SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE LEVINE (EXECUTIVE DIRECTOR)
(919) 637-7567
Entity
Organization
Contact information
Practice address
201 W MAIN ST, 302 E, DURHAM, NC 27701-3228
(919) 637-7567
(919) 439-0215
Mailing address
201 W MAIN ST, 302 E, DURHAM, NC 27701-3228
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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