Carlie Qualls, ECDT

NPI #1366761066 in Batesville, Arkansas

Provider Information

NPI Number: 1366761066
Entity Type: Individual
Name: Carlie Qualls, ECDT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: ECDT
Enumeration Date: May 20, 2010
Last Updated: May 20, 2010

Practice Location

Address: 2040 FITZHUGH ST
City: Batesville
State: Arkansas
ZIP Code: 72501-7409
Phone: (870) 793-0942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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