MEDICARE: QUBED HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1083557383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUBED HEALTH SERVICES

Provider Business Mailing Address
First Line	:	411 WILD IRIS LN
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6282
Country	:	US
Telephone Number	:	757-470-4863
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 SHILOH RD NW STE 450
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-7152
Country	:	US
Telephone Number	:	678-673-3953
Fax Number	:

Authorized Official
Title or Position	:	CEO/ OWNER
Name	:	DR. HEATHER QUAILE
Credential	:	DNP
Telephone Number	:	757-470-4863

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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Directions to “QUBED HEALTH SERVICES ” Practice Location

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