Basic Information
Provider Information
NPI: 1437187788
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QUINN
FirstName: JULIA
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2727 PACES FERRY ROAD
Address2: SUITE 1-1100 (ATTENTION DENISE)
City: ATLANTA
State: GA
PostalCode: 30339
CountryCode: US
TelephoneNumber: 4702713421
FaxNumber:  
Practice Location
Address1: 1010 VILLAGE DR
Address2:  
City: WATKINSVILLE
State: GA
PostalCode: 306776004
CountryCode: US
TelephoneNumber: 7067690000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/28/2006
LastUpdateDate: 06/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X037651GAY Allopathic & Osteopathic PhysiciansInternal Medicine 
207Q00000X037651GAN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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