Mid-atlantic Quickcare Pllc | |
5261 Carrollton Pike Suite C Woodlawn VA 24381-3668 | |
(276) 238-0911 | |
(276) 238-0912 |
Full Name | Mid-atlantic Quickcare Pllc |
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Speciality | Clinic/Center |
Location | 5261 Carrollton Pike, Woodlawn, Virginia |
Authorized Official Name and Position | Carrie Burnette (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 2762380911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mid-atlantic Quickcare Pllc 5261 Carrollton Pike Suite C Woodlawn VA 24381 Ph: (276) 238-0911 | Mid-atlantic Quickcare Pllc 5261 Carrollton Pike Suite C Woodlawn VA 24381-3668 Ph: (276) 238-0911 |
NPI Number | 1225383243 |
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Provider Enumeration Date | 07/16/2012 |
Last Update Date | 09/15/2022 |
Medicare PECOS PAC ID | 4981853900 |
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Medicare Enrollment ID | O20121009000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225383243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jeffrey Scott Garland |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306878756 PECOS PAC ID: 8022010552 Enrollment ID: I20070418000138 |
Provider Name | Farrah Vaughn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881146694 PECOS PAC ID: 9931481959 Enrollment ID: I20170126000687 |
Provider Name | Leigh A Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316435415 PECOS PAC ID: 9739427253 Enrollment ID: I20190207002718 |
Provider Name | Debra L Felts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659771525 PECOS PAC ID: 9335360049 Enrollment ID: I20190501002091 |
Provider Name | Krystal Inman Phillips |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104441997 PECOS PAC ID: 7517377955 Enrollment ID: I20201113000896 |
Provider Name | Torilyn C Quesenberry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992466106 PECOS PAC ID: 5294120549 Enrollment ID: I20220323000933 |
Provider Name | Judy Grove |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720732084 PECOS PAC ID: 0446647689 Enrollment ID: I20240129001567 |
Family Medicine Of Woodlawn Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Training Center Rd, Woodlawn, VA 24381 Phone: 276-728-5334 | |
Mid-atlantic Eldercare, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381 Phone: 276-238-8876 Fax: 276-238-8886 |