Healthcare Provider Details

I. General information

NPI: 1275150542
Provider Name (Legal Business Name): QUINDEIC RHONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 07/02/2020
Certification Date: 07/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2556 MILES ST
AUGUSTA GA
30906-5326
US

IV. Provider business mailing address

2556 MILES ST
AUGUSTA GA
30906-5326
US

V. Phone/Fax

Practice location:
  • Phone: 706-220-3512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: