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General NPI Number Information
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NPI Number | 1821906173
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Entity Type | Organization
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Legal Business Name | PHYSICIANS QUALITY CARE PLLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 15463 S FIRST ST
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City | MILAN
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State | TN
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Zip | 38358-6475
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Country | US
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Telephone | 731-686-8688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12197
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City | JACKSON
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State | TN
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Zip | 38308-0136
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Country | US
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Telephone | 731-984-8400
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Fax | 731-984-8305
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TRACEY GLISSON
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Credential |
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Telephone | 731-984-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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