Individual
EDWIN M QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 863-7393
(228) 868-6643
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 863-7393
(228) 868-6643
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13479
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118272
—
MS
01
—
390004447
RAILROAD MEDICARE
—
Enumeration date
10/18/2005
Last updated
07/10/2014
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