Organization
QUINN HEALTHCARE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY QUINN M.D. (OWNER/PRESIDENT)
(601) 487-6482
Entity
Organization
Contact information
Practice address
768 AVERY BLVD N, RIDGELAND, MS 39157-5219
(601) 487-6482
(601) 487-6528
Mailing address
768 AVERY BLVD N, RIDGELAND, MS 39157-5219
(601) 487-6482
(601) 487-6528
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09458077
—
MS
Enumeration date
08/20/2006
Last updated
09/10/2015
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