Organization
QUALITY MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MANSELL (OWNER/CEO)
(256) 320-3636
Entity
Organization
Contact information
Practice address
4107 SPORTSPLEX DR, MUSCLE SHOALS, AL 35661-6504
(256) 978-5503
Mailing address
4107 SPORTSPLEX DR, MUSCLE SHOALS, AL 35661-6504
(256) 978-5503
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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