Individual
SOPHIA MCQUARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 OLD BRANDON RD, PEARL, MS 39208-4701
(601) 664-0014
(601) 666-4240
Mailing address
863 HOLLY BUSH RD, BRANDON, MS 39047-8246
(601) 829-1077
(601) 664-2405
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
253464
MS
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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