Individual
MR. ERIC QUINN FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADPSS
Contact information
Practice address
3934 DIXIE HWY STE 210, LOUISVILLE, KY 40216-4176
(859) 691-0929
Mailing address
5439 BRUCE AVE, LOUISVILLE, KY 40214-4130
(502) 492-7931
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
297415
KY
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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