| Qc Family Practice | |
|
508 Princeton Rd Suite 104 Johnson City TN 37601-2060 | |
| (423) 384-0614 | |
| Not Available |
| Full Name | Qc Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 508 Princeton Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Quinton W Carroll (OWNER) |
| Authorized Official Contact | 4233840614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qc Family Practice 508 Princeton Rd Suite 104 Johnson City TN 37601-2060 Ph: (423) 384-0614 | Qc Family Practice 508 Princeton Rd Suite 104 Johnson City TN 37601-2060 Ph: (423) 384-0614 |
| NPI Number | 1215469358 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215469358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14954 (Tennessee) | Primary |
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