| Quest Provider Services Llc | |
|
2329 E Wt Harris Blvd Charlotte NC 28213 | |
| (704) 292-8726 | |
| (704) 246-4763 |
| Full Name | Quest Provider Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2329 E Wt Harris Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Katelynn Donovan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7045374730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Provider Services Llc 2329 East Wt Harris Blvd Charlotte NC 28213 Ph: (704) 537-4730 | Quest Provider Services Llc 2329 E Wt Harris Blvd Charlotte NC 28213 Ph: (704) 292-8726 |
| NPI Number | 1932367638 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932367638 | NPI | - | NPPES |
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