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Organization

QSM-VA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN A MAGILEN MD (OWNER/CEO)
(800) 226-8874
Entity
Organization

Contact information

Practice address
202 PAINTER ST, GALAX, VA 24333-3830
(800) 226-8874
Mailing address
3800 SOUTH OCEAN DR, STE 209, HOLLYWOOD, FL 33019-2915
(800) 226-8874
(877) 366-4776

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
208600000X
Surgery Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
05/08/2023
Last updated
12/11/2024
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