Individual
QUENTIN LEVAN MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10545 GREENVILLE HWY, WELLFORD, SC 29385-9541
(864) 303-4052
(864) 469-3064
Mailing address
10545 GREENVILLE HWY, WELLFORD, SC 29385-9541
(864) 303-4052
(864) 469-3064
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
IHCP-1138
SC
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-1138
SC
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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