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Individual

DR. ELMER LUIS QUINTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3073 PANTHERSVILLE RD BLDG 3, DECATUR, GA 30034-3800
(404) 243-2202
Mailing address
9690 ROD RD, JOHNS CREEK, GA 30022-7596
(470) 228-1868

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
270956
NY
2084P0800X
Psychiatry Physician
Primary
85863
GA
2084P0800X
Psychiatry Physician
ME0142732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03967677
NY
Enumeration date
04/27/2010
Last updated
03/31/2023
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