QC FAMILY PRACTICE NPI 1215469358

NPI Information

NPI: 1215469358
Provider Name: QC FAMILY PRACTICE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
508 PRINCETON RD
SUITE 104
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 384-0614
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QC FAMILY PRACTICE is a primary care clinic center in Johnson City, TN. QC FAMILY PRACTICE NPI is 1215469358. The provider is registered as an organization entity type.

The provider's business location address is:

508 PRINCETON RD
SUITE 104
JOHNSON CITY, TN
ZIP 37601-060
Phone: (423) 384-0614

The provider's authorized official is Quinton W Carroll .
The authorized official title is Owner and has the following contact phone number (423) 384-0614.

The enumeration date for this NPI number is 3/29/2017 and was last updated on 3/29/2017.

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	261QP2300X	Clinic/Center	Primary Care	14954	TENNESSEE	Yes

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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