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NPI Code Detail

MEDICARE: GEORGE E QUILL JR. MD

MEDICARE: GEORGE E QUILL JR. 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
1207X00000XOrthopaedic Surgery Physician27144KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12161726001OTHERCIGNA
2000000045604OTHERANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
44122864OTHERAETNA

General Provider Information

NPI Number : 1134110794
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE E QUILL JR. MD
Provider Business Mailing Address
First Line : 4130 DUTCHMANS LN
Second Line : STE 202
City : LOUISVILLE
State : KY
Zip : 40207-4713
Country : US
Telephone Number : 502-897-1794
Fax Number : 502-897-0093
Provider Business Practice Location Address
First Line : 4130 DUTCHMANS LN
Second Line : STE 202
City : LOUISVILLE
State : KY
Zip : 40207-4713
Country : US
Telephone Number : 502-897-1794
Fax Number : 502-897-0093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 04/16/2015

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Directions to “ GEORGE E QUILL JR. MD” Practice Location

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