Qc Family Practice
NPI #1215469358 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1215469358
- Entity Type
- Organization
- Organization Name
- Qc Family Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 29, 2017
- Last Updated
- Mar 29, 2017
Practice Location
- Address
- 508 PRINCETON RD
- Address 2
- SUITE 104
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-2060
- Phone
- (423) 384-0614
Authorized Official
- Name
- QUINTON W CARROLL, APRN
- Title
- OWNER
- Phone
- (423) 384-0614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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