Individual
L DARRYL QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
956 COURT AVE, MEMPHIS, TN 38103-2814
(901) 448-4385
Mailing address
956 COURT AVE, MEMPHIS, TN 38103-2814
(901) 448-4385
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-30604
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003181810A
—
GA
05
—
00453855
—
MS
05
—
1515166
—
TN
05
—
179834
—
AL
05
—
180641001
—
AR
05
—
1912000837
—
MO
05
—
200264870A
—
KS
05
—
209360106
—
MO
01
—
34097019
BCBS KC
MO
01
—
925247
FIRSTGUARD
KS
Enumeration date
09/06/2006
Last updated
10/16/2018
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