Individual
BARRY CHRISTOPHER QUESNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
682 HEMLOCK ST, STE 100, MACON, GA 31201-6883
(478) 633-8682
(478) 633-8698
Mailing address
598 3RD ST, MACON, GA 31201-3357
(478) 633-6706
(478) 633-5384
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
003555
GA
363A00000X
Physician Assistant
Primary
003555
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002652B
—
GA
Enumeration date
03/01/2006
Last updated
04/10/2015
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