Healthcare Provider Details

I. General information

NPI: 1538187240
Provider Name (Legal Business Name): DAVID QUINN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 04/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW STE 600
ATLANTA GA
30318-0920
US

IV. Provider business mailing address

1800 HOWELL MILL RD NW STE 600
ATLANTA GA
30318-0920
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-9512
  • Fax: 404-351-9815
Mailing address:
  • Phone: 404-351-9512
  • Fax: 404-351-9815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number057648
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: