DR. CATHLEEN WOOD QUILLIAN D.O. NPI 1093817157

NPI Information

NPI: 1093817157
Provider Name: DR. CATHLEEN WOOD QUILLIAN, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1107 E 66TH ST
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-8404
Get Directions

DR. Cathleen Wood Quillian, D.O. is a family medicine in Savannah, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Cathleen Wood Quillian, D.O. NPI is 1093817157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1107 E 66TH ST
SAVANNAH, GA
ZIP 31404-701
Phone: (912) 350-8404
Fax: (912) 350-8067

The NPI 1093817157 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 6/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		045924	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	296899578B	MEDICAID	GEORGIA
2	H33686	MEDICARE UPIN
3	P00778527	OTHER	GEORGIA	RR MEDICARE
4	GA1017	MEDICAID	SOUTH CAROLINA
5	202I086909	MEDICARE PIN	GEORGIA
6	000904615A	OTHER	GEORGIA	MEDICAID ID FROM OLD GROUP
7	08BBVCP	OTHER	GEORGIA	MEDICARE PTAN FROM OLD GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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