NPI: 1982067401
Provider Name: QUINTESSENTIAL FOOT CARE, PLLC
Former Legal Business Name: J QUINTERO PODIATRY, PLLC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization
Specialization: Primary Podiatric Medicine
Address:
4758 LONGVIEW RUN
DECATUR, GA
ZIP 30035
Phone: (332) 331-2739
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QUINTESSENTIAL FOOT CARE, PLLC is a primary podiatric medicine podiatrist in Decatur, GA. QUINTESSENTIAL FOOT CARE, PLLC NPI is 1982067401. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is J Quintero Podiatry, Pllc.
The provider's business location address is:
4758 LONGVIEW RUN
DECATUR, GA
ZIP 30035-001
Phone: (332) 331-2739
The provider's authorized official is Jacqueline O Quintero .
The authorized official title is Physician/owner and has the following contact phone number (332) 331-2739.
The enumeration date for this NPI number is 4/1/2016 and was last updated on 9/6/2023.