Individual
MRS. SUSAN G QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
416 W UNION ST, ATHENS, OH 45701
(740) 594-2271
(740) 594-2270
Mailing address
416 W UNION ST, ATHENS, OH 45701
(740) 594-2271
(740) 594-2270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0507124
—
OH
Enumeration date
03/24/2006
Last updated
06/01/2012
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