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QUINTESSENTIAL FOOT CARE PLLC NPI 1982067401


NPI Information

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.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist006651NEW YORKNo
2213EP1101XPodiatristPrimary Podiatric MedicineYes

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

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