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NPI Code Detail

MEDICARE: MRS. ELEANOR QUARTERMAN MSN, APRN, FNP-BC

MEDICARE:  MRS. ELEANOR  QUARTERMAN  MSN, APRN, FNP-BC
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
1207QA0505XAdult Medicine PhysicianRN203690GA

General Provider Information

NPI Number : 1750007878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELEANOR QUARTERMAN MSN, APRN, FNP-BC
Provider Business Mailing Address
First Line : 12 SANDY POND RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-9674
Country : US
Telephone Number : 912-663-2983
Fax Number :
Provider Business Practice Location Address
First Line : 4704 AUGUSTA RD
Second Line :
City : GARDEN CITY
State : GA
Zip : 31408-1758
Country : US
Telephone Number : 912-964-4326
Fax Number : 912-964-1825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 10/19/2022

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Directions to “ MRS. ELEANOR QUARTERMAN MSN, APRN, FNP-BC” Practice Location

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