Individual
JULIE MILLER QUATTLEBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4321 UNIVERSITY PKWY, EVANS, GA 30809-3058
(706) 790-4440
(706) 737-3321
Mailing address
215 TOWN CREEK RD, AIKEN, SC 29803-5843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24025
SC
208000000X
Pediatrics Physician
56278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752529620A
—
GA
Enumeration date
08/15/2006
Last updated
08/25/2025
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