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NPI Code Detail

MEDICARE: QUATRACOR COMPLETE HEALTH PARTNERS

MEDICARE: QUATRACOR COMPLETE HEALTH PARTNERS
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
1207PS0010XSports Medicine (Emergency Medicine) Physician
2207Q00000XFamily Medicine Physician
3363A00000XPhysician Assistant
4207QA0000XAdolescent Medicine (Family Medicine) Physician
5207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1336620814
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUATRACOR COMPLETE HEALTH PARTNERS
Provider Business Mailing Address
First Line : PO BOX 23854
Second Line :
City : BELFAST
State : ME
Zip : 04915-4489
Country : US
Telephone Number : 615-647-9005
Fax Number :
Provider Business Practice Location Address
First Line : 6746 CHARLOTTE PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4204
Country : US
Telephone Number : 615-604-8364
Fax Number : 615-604-8364
Authorized Official
Title or Position : OWNER
Name : THOMAS BABCOCK
Credential : MD
Telephone Number : 615-647-9005
Provider Enumeration Date : 08/23/2018
Last Update Date : 07/23/2022

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Directions to “QUATRACOR COMPLETE HEALTH PARTNERS ” Practice Location

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