Healthcare Provider Details

I. General information

NPI: 1447180229
Provider Name (Legal Business Name): SYDNEY QUINN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7227 OLD US HIGHWAY 52
LEXINGTON NC
27295-6103
US

IV. Provider business mailing address

2700 WHITE RAIL DR
FUQUAY VARINA NC
27526-6681
US

V. Phone/Fax

Practice location:
  • Phone: 336-731-8431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: