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NPI Code Detail

MEDICARE: BRIAN CHRISTOPHER QUALLS MD

MEDICARE: BRIAN CHRISTOPHER QUALLS MD
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
1207Q00000XFamily Medicine Physician49145TN

General Provider Information

NPI Number : 1124317284
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN CHRISTOPHER QUALLS MD
Provider Business Mailing Address
First Line : 935 WAYNE RD
Second Line :
City : SAVANNAH
State : TN
Zip : 38372-1904
Country : US
Telephone Number : 731-926-8000
Fax Number : 731-926-8160
Provider Business Practice Location Address
First Line : 935 WAYNE RD
Second Line :
City : SAVANNAH
State : TN
Zip : 38372-1904
Country : US
Telephone Number : 731-926-8000
Fax Number : 731-926-8160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2011
Last Update Date : 06/10/2014

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Directions to “ BRIAN CHRISTOPHER QUALLS MD” Practice Location

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