Provider Information for 1700430162
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NATALIE M MCQUINN
Sex: Female
NPI: 1700430162
Last Updated: 2020-09-20
Certification Date: 2020-09-20
Certification Date: 2020-09-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1700430162 | ||||||||
| Enumeration Date | 2019-07-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3775 ANDREW JACKSON WAY HERMITAGE, TN 37076-2244 United States Phone: 615-442-6804 | Fax: | ||||||||
| Primary Practice Address | 3775 ANDREW JACKSON WAY HERMITAGE, TN 37076-2244 United States Phone: 615-442-6804 | Fax: | ||||||||
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