MEDICARE: QUINN MEDICAL, LLC

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
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1336905579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUINN MEDICAL, LLC

Provider Business Mailing Address
First Line	:	1532 N BRINDLEE MOUNTAIN PKWY
Second Line	:
City	:	ARAB
State	:	AL
Zip	:	35016-5723
Country	:	US
Telephone Number	:	256-738-4345
Fax Number	:	256-781-0032

Provider Business Practice Location Address
First Line	:	1532 N BRINDLEE MOUNTAIN PKWY
Second Line	:
City	:	ARAB
State	:	AL
Zip	:	35016-5723
Country	:	US
Telephone Number	:	256-738-4345
Fax Number	:	256-781-0032

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DR. PAMELA M QUINN
Credential	:	MD
Telephone Number	:	256-738-4345

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	02/26/2024

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