Organization
QUINTESSA MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKOORA OMONUWA (DOCTOR)
(404) 767-8884
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW STE 602, ATLANTA, GA 30315-7116
(404) 767-8884
(404) 767-8815
Mailing address
4896 TREE TOPS DR, DOUGLASVILLE, GA 30135-2667
(404) 767-8884
(404) 767-8815
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
037895
GA
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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