MEDICARE: CAITLIN PAIGE QUINN

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	363A00000X	Physician Assistant	0010-05235	NC
2	363AM0700X	Medical Physician Assistant	0010-05235	NC
3	363AM0700X	Medical Physician Assistant	008630	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	198DG	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1851794614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN PAIGE QUINN

Provider Business Mailing Address
First Line	:	1365 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1231
Country	:	US
Telephone Number	:	404-686-2391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	11/11/2025

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Directions to “ CAITLIN PAIGE QUINN ” Practice Location

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