Individual
QUATAVIUS DOWNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W SAINT JAMES ST UNIT A, TARBORO, NC 27886-4931
(984) 368-1634
Mailing address
700 W SAINT JAMES ST UNIT A, TARBORO, NC 27886-4931
(984) 368-1634
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1270
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0914
PIN CODE
—
Enumeration date
09/23/2021
Last updated
09/23/2021
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