Individual
DR. JENNIFER QUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13596 HWY 231 431 N, SUITE 2, HAZEL GREEN, AL 35750-8642
(256) 828-2094
(256) 828-0526
Mailing address
13596 HWY 231 431 N, SUITE 2, HAZEL GREEN, AL 35750-8642
(256) 828-2094
(256) 828-0526
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25223
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009924115
—
AL
01
—
51516137
BCBS
—
Enumeration date
01/04/2006
Last updated
05/19/2023
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