Individual
JONATHAN CARL O'QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2140 W ARLINGTON BLVD, STE D, GREENVILLE, NC 27834-0000
(252) 830-1000
(252) 830-0511
Mailing address
2140 W ARLINGTON BLVD, STE D, GREENVILLE, NC 27834-0000
(252) 830-1000
(252) 830-0511
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
483
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810Y
BCBSNC
NC
05
—
5900554
—
NC
05
—
890182Y
—
NC
Enumeration date
05/15/2006
Last updated
09/11/2013
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